Claims Team Lead | GL & BI | Jurisdiction: MN | Licensing: MN - Remote

Primary Purpose

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.

• Supervise multiple teams of examiners, product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties within the unit.
• Identify and advise management of trends, problems, and issues as well as recommend a course of action; inform management of new procedures and ideas for continuous process improvement; and coordinate with management projects for the office.
• Provide technical/jurisdictional direction to examiner reports on claims adjudication.
• Compile reviews and analyze management reports and take appropriate action.
• Perform quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
• Act as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implement final disposition of the appeal.
• Review reserve amounts on high cost claims and claims over the authority of the individual examiner.
• Monitor third party claims; maintain periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
• Maintain contact with the client on claims and promote a professional client relationship; make recommendations to client as suggested by the claim status; and provide written resumes of specific claims as requested by client.
• Ensure that direct reports are properly licensed in the jurisdictions serviced.
• Ensure claims files are coded correctly and adequate documentation is made by claims examiners.

• Administer company personnel policies in all areas and follow company staffing standards and training recommendations.
• Interview, hire and establish colleague performance development plans; conduct colleague performance discussions.
• Provide support, guidance, leadership and motivation to promote maximum performance.

• Education:
  
  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.
• Experience:
  
  6 years of claims management experience or equivalent combination of education and experience; 2 years claims supervisor experience.
• Licensing / Jurisdiction Knowledge: MN.

Compensation range: $73,231.00 – $ USD annual (for the jurisdiction noted in this posting). Benefits include medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits.

Flexible work schedule, referral incentive program, opportunity to work in an agile environment, career development and promotional growth opportunities.

Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.