Workers Compensation Claims Team Lead | Hybrid |Brea, CA
About The Position
This role oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. The position involves managing workloads, providing training, and monitoring individual claim activities. The Team Lead offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure cases. The company is a global industry leader known for its excellence and customer service, offering opportunities for professional development, flexibility, and autonomy. Sedgwick emphasizes a caring culture and core values such as empathy, accountability, collaboration, growth, and inclusion.
Requirements
- 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
- High School Diploma or GED required.
- SIP & California Workers Compensation claims handling experience.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Responsibilities
- Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
- Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
- Acts as a second-level appeal authority for client and claimant issues, implementing final decisions.
- Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects.
- Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases.
- Maintains professional client relationships, offering recommendations and written summaries as needed.
- Ensures accurate claim coding and documentation by examiners.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical insurance.
- Dental insurance.
- Vision insurance.
- 401K on day one.
- 401K matching.
- PTO.
- Disability insurance.
- Life insurance.
- Employee assistance program.
- Flexible spending account.
- Health savings account.
- Other additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
