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Workers Compensation Claims Team Lead | Jurisdictions: CO & UT | Dedicate Client
Job in
Cincinnati, Hamilton County, Ohio, 45208, USA
Listed on 2026-10-10
Listing for:
Sedgwick Claims Management Services Ltd
Full Time
position Listed on 2026-10-10
Job specializations:
-
Insurance
Risk Manager/Analyst
Job Description & How to Apply Below
* Apply your Workers Compensation & supervisory 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 world’s most respected organizations.
* Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
* Leverage Sedgwick’s 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?
** To supervise the operation of multiple teams of examiners and technical staff for workers compensation 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.
** WORK LOCATIONS
**** Hybrid schedule if within commutable distance to Blue Ash, OH office
**** Open to remote
**** PRIMARY PURPOSE OF
THE ROLE:
** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
** ESSENTIAL RESPONSIBLITIES MAY INCLUDE
*** Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
* Manages the litigation process; ensures timely and cost-effective claims resolution.
* Coordinates vendor referrals for additional investigation and/or litigation management.
* Leads team meetings and assigns accountability for follow-up items.
* Gathers important compliance/claims processing information to be presented at team meetings.
* Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.
* Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports.
** 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.
** QUALIFICATIONS
* * Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience preferred. Seasoned examiner experience of five (5) years - lost time & medical only experience. 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.
** Jurisdiction Knowledge: CO & UT with limited exposure to OK & WY
**** Licensing:
Home state licensing
**** TAKING CARE OF YOU
** Flexible work schedule.
Referral incentive program.
Opportunity to work in an agile environment.
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.
* Mental:
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
* Physical:
Computer keyboarding
* Auditory/Visual:
Hearing, vision and talking As required by law, Sedgwick provides a…
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