Job Overview
Employment Type
Full-time
Work Schedule
Flexible
Benefits
Flexible work schedule
Referral Incentive Program
Career development opportunities
Medical insurance
Dental Insurance
Vision Insurance
401k with Matching
Paid Time Off
Disability insurance
Life insurance
Job Description
Sedgwick is a global leader in claims management and risk services, serving clients across various industries worldwide. With a workforce of over 33,000 dedicated professionals, Sedgwick is recognized for its commitment to delivering outstanding service and innovative solutions to people facing unexpected challenges. The company prides itself on fostering a caring culture that emphasizes empathy, accountability, collaboration, growth, and inclusion. Sedgwick’s reputation has been affirmed through numerous accolades, including being named one of America’s Greatest Workplaces by Newsweek, earning certification as a Great Place to Work, and ranking among the Best Workplaces in Financial Services and Insurance by Fortune. These distinctions highlight Sedgwick's dedication to creating a supportive and dynamic work environment that empowers its employees to thrive and achieve their full potential.
The Workers Compensation Team Lead role, based in Brea, CA, offers a hybrid work environment with flexibility, combining three days in the office and two days remote. This position is crucial within Sedgwick’s operations, overseeing multiple teams of examiners and technical staff who manage workers compensation claims for a diverse client base. As a team lead, the individual will manage workloads, provide training, and monitor the quality and progress of claims, ensuring accuracy, compliance, and exceptional customer service. This role demands a high level of technical expertise in claims adjudication, including jurisdictional guidance, quality reviews, and reserve evaluations particularly for complex or high-exposure cases. Acting as a second-level appeal authority, the team lead supports both clients and claimants by resolving issues and implementing final decisions.
Sedgwick offers a competitive salary range of $105,000 to $115,000 per year for this role, along with a comprehensive benefits package that includes medical, dental, vision coverage, 401(k) with matching, paid time off, disability and life insurance, employee assistance programs, and flexible spending or health savings accounts. In addition to these tangible benefits, candidates will benefit from Sedgwick’s broad global network of experts, numerous professional development opportunities, and a culture that provides flexibility and autonomy in daily work, location, and career path. Employees also have access to a referral incentive program and promotional growth opportunities, making this an attractive role for driven individuals who aspire to make a meaningful impact while growing their careers.
Joining Sedgwick means being part of a company that values diversity, equity, and inclusion, and embraces the unique skills and experience each employee brings. Whether your background perfectly aligns with all qualifications or you bring a distinctive skill set that can contribute in new ways, Sedgwick encourages your application. This role is ideal for candidates who are passionate about customer service excellence and eager to leverage their expertise in workers compensation claims supervision to lead teams effectively in a fast-paced, industry-leading environment.
The Workers Compensation Team Lead role, based in Brea, CA, offers a hybrid work environment with flexibility, combining three days in the office and two days remote. This position is crucial within Sedgwick’s operations, overseeing multiple teams of examiners and technical staff who manage workers compensation claims for a diverse client base. As a team lead, the individual will manage workloads, provide training, and monitor the quality and progress of claims, ensuring accuracy, compliance, and exceptional customer service. This role demands a high level of technical expertise in claims adjudication, including jurisdictional guidance, quality reviews, and reserve evaluations particularly for complex or high-exposure cases. Acting as a second-level appeal authority, the team lead supports both clients and claimants by resolving issues and implementing final decisions.
Sedgwick offers a competitive salary range of $105,000 to $115,000 per year for this role, along with a comprehensive benefits package that includes medical, dental, vision coverage, 401(k) with matching, paid time off, disability and life insurance, employee assistance programs, and flexible spending or health savings accounts. In addition to these tangible benefits, candidates will benefit from Sedgwick’s broad global network of experts, numerous professional development opportunities, and a culture that provides flexibility and autonomy in daily work, location, and career path. Employees also have access to a referral incentive program and promotional growth opportunities, making this an attractive role for driven individuals who aspire to make a meaningful impact while growing their careers.
Joining Sedgwick means being part of a company that values diversity, equity, and inclusion, and embraces the unique skills and experience each employee brings. Whether your background perfectly aligns with all qualifications or you bring a distinctive skill set that can contribute in new ways, Sedgwick encourages your application. This role is ideal for candidates who are passionate about customer service excellence and eager to leverage their expertise in workers compensation claims supervision to lead teams effectively in a fast-paced, industry-leading environment.
Job Requirements
- High school diploma or GED
- Six years of claims experience or equivalent combination of education and experience including two years claims supervisor experience
- Knowledge of California workers compensation claim handling
- SIP certification
- Ability to supervise multiple teams
- Strong communication and leadership skills
- Proficient in claims adjudication and documentation standards
Job Qualifications
- Six years of claims experience or equivalent combination of education and experience required to include two 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
- California workers compensation claim handling experience
- SIP certified
Job Duties
- 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
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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