(Remote) Dedicated Claims Team Lead - General Liability
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.
A career at Sedgwick means experiencing our culture of caring.
It means having flexibility and time for all the things that are important to you.
Its an opportunity to do something meaningful, each and every day.
Its having support for your mental, physical, financial and professional needs.
It means sharpening your skills and growing your career.
And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youre someone who cares, theres a place for you here.
Join us and contribute to Sedgwick being a great place to work.
Great Place to WorkMost Loved WorkplaceForbes Best-in-State Employer(Remote) Dedicated Claims Team Lead - General LiabilityAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the worlds best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the worlds most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwicks broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE OF THE ROLE:
To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
Provides technical/jurisdictional direction to examiner reports on claims adjudication.
Compiles reviews and analyzes management reports and takes appropriate action.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
Assures that direct reports are properly licensed in the jurisdictions serviced.
Ensures claims files are coded correctly and adequate documentation is made by claims examiners.
QUALIFICATIONS Education & Licensing:
6
years of claims management experience or equivalent combination of education and experience required.
High School Diploma or GED required.
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
Licensing / Jurisdiction Knowledge:
Active adjusters license preferred, not required.
Must have experience with Commercial General Liability.
Retail experience a plus, not required.
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Opportunity to work in a remote or agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
#claimsexaminer #claimsSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do.
Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.
Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions.
Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing one where caring counts.
Watch this video to learn more about us.
(https:
//www.
youtube.
com/watch?v=ywxedjBGSfA) /> Recommended Skills Auditing Branding Claim Processing Customer Service Finance Innovation Estimated Salary: $20 to $28 per hour based on qualifications.
A career at Sedgwick means experiencing our culture of caring.
It means having flexibility and time for all the things that are important to you.
Its an opportunity to do something meaningful, each and every day.
Its having support for your mental, physical, financial and professional needs.
It means sharpening your skills and growing your career.
And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youre someone who cares, theres a place for you here.
Join us and contribute to Sedgwick being a great place to work.
Great Place to WorkMost Loved WorkplaceForbes Best-in-State Employer(Remote) Dedicated Claims Team Lead - General LiabilityAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the worlds best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the worlds most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwicks broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE OF THE ROLE:
To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
Provides technical/jurisdictional direction to examiner reports on claims adjudication.
Compiles reviews and analyzes management reports and takes appropriate action.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
Assures that direct reports are properly licensed in the jurisdictions serviced.
Ensures claims files are coded correctly and adequate documentation is made by claims examiners.
QUALIFICATIONS Education & Licensing:
6
years of claims management experience or equivalent combination of education and experience required.
High School Diploma or GED required.
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
Licensing / Jurisdiction Knowledge:
Active adjusters license preferred, not required.
Must have experience with Commercial General Liability.
Retail experience a plus, not required.
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Opportunity to work in a remote or agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
#claimsexaminer #claimsSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do.
Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.
Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions.
Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing one where caring counts.
Watch this video to learn more about us.
(https:
//www.
youtube.
com/watch?v=ywxedjBGSfA) /> Recommended Skills Auditing Branding Claim Processing Customer Service Finance Innovation Estimated Salary: $20 to $28 per hour based on qualifications.
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