Claims Team Lead – Workers Compensation | Hybrid – Riverside, CA

Claims Team Lead – Workers Compensation | Hybrid – Riverside, CA

By joining Sedgwick, you’ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work‑life balance. Here, there’s no limit to what you can achieve.

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.

Riverside, CA – Hybrid (2 Days Onsite)

Oversees a team of examiners 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 case.

• Supervises a team of examiners, 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.
• Maintains professional client relationships, offering recommendations and written summaries as needed.
• Ensures accurate claim coding and documentation by examiners.

• Education & Licensing: 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.
• Licensing / Jurisdiction Knowledge:
  California workers compensation claims handling experience | SIP Certified

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Comprehensive benefits offering including medical, dental, vision, 401(k) on day one.
• For the jurisdiction noted in this job posting only, starting pay range is $105,000–$115,000/yr. Compensation is influenced by a wide range of factors including skill set, level of experience, and cost of specific location.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace.

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