Workers Compensation Team Leader | Dedicated Client | Jurisdiction: NJ, PA & FL

Sedgwick•Marlton, NJ

11d•Hybrid

About The Position

Sedgwick is seeking a Workers Compensation Team Leader to supervise multiple teams of examiners and technical staff serving a dedicated client. The role oversees workers’ compensation claims operations across New Jersey, Pennsylvania, and Florida, with heavy jurisdictional knowledge in New Jersey and Pennsylvania. The team leader monitors workloads and claim activities, provides training and technical direction, and maintains oversight of complex and high-exposure claims. The position is based in Marlton, New Jersey, with a hybrid schedule requiring two days in the office. Occasional travel to Media, Pennsylvania, is required for onsite client meetings. The role also supports client relationships, conducts claim quality reviews, reviews reserves on high-cost claims, handles second-level appeals, and ensures files are properly coded and documented. The team leader administers personnel policies, hires and develops colleagues, conducts performance discussions, and provides leadership and guidance. Sedgwick describes its workplace as caring, collaborative, inclusive, growth-oriented, and flexible, with professional development and career advancement opportunities.

Requirements

Six years of claims experience, or an equivalent combination of education and experience.
Two years of claims supervisor experience.
Heavy workers’ compensation jurisdiction knowledge in New Jersey and Pennsylvania, with some knowledge of Florida.
Licenses as required; the posting states licensing is not required for this role.

Nice To Haves

Bachelor’s degree from an accredited college or university.
Professional certifications applicable to the line of business.

Responsibilities

Supervise multiple teams of examiners, multiple product-line examiners, and/or at least seven technical operations colleagues, delegating duties as appropriate.
Monitor colleagues’ workloads, provide training, and monitor individual claim activities.
Identify and advise management of trends, problems, and issues, and recommend appropriate courses of action.
Inform management of new procedures and continuous process improvement ideas, and coordinate office projects.
Provide technical and jurisdictional direction on examiner reports and claims adjudication.
Compile, review, and analyze management reports and take appropriate action.
Conduct claim quality reviews in compliance with audit requirements, service contract requirements, and quality standards.
Act as the second level of appeal for client and claimant issues involving claims, procedures, or special requests, and implement final appeal dispositions.
Review reserves on high-cost claims and claims exceeding the authority of individual examiners.
Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and client-designated sensitive claims.
Maintain client contact regarding claims, foster professional client relationships, recommend actions based on claim status, and provide written claim summaries upon request.
Ensure direct reports are properly licensed in the jurisdictions served.
Ensure claims are correctly coded and adequately documented by examiners.
Administer company personnel policies and follow staffing standards and training recommendations.
Interview and hire colleagues, establish performance development plans, and conduct performance discussions.
Provide support, guidance, leadership, and motivation to promote colleague performance.
Travel occasionally to Media, Pennsylvania, for onsite client meetings.