Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA)

About the role

Join Sedgwick, a global industry leader, where you can bring your big ideas to help solve problems for some of the world’s best brands. This role involves overseeing multiple teams of examiners and technical staff handling workers compensation claims.

Responsibilities

• Supervise multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
• Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Act as a second-level appeal authority for client and claimant issues, implementing final decisions.
• Identify trends, issues, and opportunities for process improvement; advise management and coordinate related projects.
• Maintain professional client relationships, offering recommendations and written summaries as needed.
• Ensure accurate claim coding and documentation by examiners.

Qualifications

• 6 years of claims experience or equivalent combination of education and experience, including two (2) years claims supervisor experience.
• A High School Diploma or GED required.
• A Bachelor's degree from an accredited college or university preferred.
• A professional certification as applicable to line of business preferred.
• California workers comp claims handling experience and SIP taking care of you.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401k, and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.