Claims Team Lead Premises & General Liability | Dedicated Client & All States | Licensing Home State Required

Are 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

• 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 other duties as assigned; Supports the organizations quality program(s).

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support guidance leadership and motivation to promote maximum performance.
• 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: High School Diploma or GED required. Bachelors degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

Licensing / Jurisdiction Knowledge: All 50 states & Home State or Reciprocal licensing required

TAKING CARE OF YOU

• Flexible work schedule.

• Referral incentive program.

• Career development and promotional growth opportunities.

• A diverse and comprehensive benefits offering including medical dental vision 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate consideration will be given to reasonable accommodations.