Subrogation Team Lead

Sedgwick•Telecommuter PA, PA

About The Position

The Subrogation Team Lead leads a recovery team pursuing potential subrogation recoveries arising from claims across jurisdictions and lines of business. The role oversees compliance with recovery procedures and quality standards, reviews team members’ files, authorizes litigation and certain payments, and provides guidance on complex cases, escalations, claim payments, and litigation processes. The lead also works with clients and internal and external stakeholders to align recovery efforts with client, financial, and jurisdictional strategies; monitors workloads and claim inventories; and promotes timely, cost-effective claim resolution. The position develops training materials, leads department training and team meetings, assigns follow-up accountability, supports compliance and claims-processing discussions, and helps implement cost-containment techniques and vendor partnerships. Supervisory duties include administering personnel policies, assisting with interviews and hiring, establishing performance development plans, conducting performance reviews, and supporting colleague performance. The work may involve computer keyboarding and travel as required. Sedgwick will consider reasonable accommodations when applicable and appropriate.

Requirements

  • Six years of claims experience, or an equivalent combination of experience and education.
  • Technical knowledge of recovery requirements.
  • Excellent oral and written communication skills, including presentation skills.
  • PC literacy, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Excellent interpersonal skills.
  • Excellent negotiation skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Performance Competencies.

Nice To Haves

  • Bachelor’s degree from an accredited college or university preferred.
  • Licenses as required.

Responsibilities

  • Ensure compliance with established recovery procedures and standards.
  • Maintain quality control and conduct periodic reviews of team members’ files.
  • Act as first-line authorization for litigation, including appeals, on recovery claims.
  • Authorize payment of bills that exceed the reviewer’s delegated authority.
  • Guide colleagues in handling subrogation counsel for highly complex cases and manage escalations.
  • Schedule client file reviews and participate in discussions about subrogation resolution.
  • Provide guidance on claim payments and audit colleagues’ adherence to specified guidelines.
  • Provide subrogation guidance and direction to internal and external stakeholders to maximize recoveries in alignment with client, financial, and jurisdictional strategies and guidelines.
  • Oversee preparation of client status reports and provide additional subrogation expertise to colleagues as needed.
  • Guide the team through litigation processes to support timely and cost-effective resolution.
  • Develop training materials and lead department training opportunities.
  • Guide the team on cost-containment techniques, including strategic vendor partnerships.
  • Conduct supervisory claim reviews in accordance with service expectations.
  • Review colleague workloads as part of inventory initiatives, identify trends, and suggest adjustments when necessary.
  • Lead team meetings and assign accountability for follow-up items.
  • Help gather compliance and claims-processing information for team meetings.
  • Administer company personnel policies and follow staffing standards and training recommendations.
  • Assist with interviews and hiring, establish colleague performance development plans, and conduct performance reviews.
  • Provide support, guidance, leadership, and motivation to promote colleague performance.
  • Perform other duties as assigned.
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