Claims Team Lead - Workers Compensation | Rancho Cordova, 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 oversees a team of examiners and technical staff handling workers compensation claims.

Responsibilities

• Supervises a team 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.
• Maintains professional client relationships, offering recommendations and written summaries as needed.
• Ensures accurate claim coding and documentation by examiners.

Qualifications

• 5 years of claims experience or equivalent combination of education and experience required, including 2 years claims supervisor experience.
• A High School Diploma or GED required.
• A Bachelor's degree from an accredited college or university preferred.
• Licensing / Jurisdiction Knowledge: California workers compensation claim handling experience | SIP Certified.

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.