Claims Team Lead - Workers Compensation; REMOTE

Claims Team Lead – Workers Compensation (REMOTE) – Sedgwick

Join to apply for the Claims Team Lead – Workers Compensation (REMOTE) role at Sedgwick.

Jurisdiction experience in: MD, VA, DC, WV, DE, NJ & PA and Licensed in WV and DE.

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 world’s best brands?

• Apply your knowledge and experience in a claims leadership role in an energetic culture.
• Deliver innovative customer-facing solutions to clients representing virtually every industry.
• Be part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick’s global network of experts to learn and share insights.
• Take advantage 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.

We are looking for driven individuals that embody our caring core values, including empathy, accountability, collaboration, growth, and inclusion.

Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high‑exposure cases.

• Supervises multiple teams 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.
• Monitors third‑party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintains professional client relationships, offering recommendations and written summaries as needed.
• Ensures accurate claim coding and documentation by examiners.

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

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401(k) and matching.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. For the jurisdiction noted in this posting only, the starting pay range for this role is $90-100K annually. A comprehensive benefits package is offered including medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick 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.