(Hybrid) Claims Team Lead - Liability
Location: Jefferson City
Posted on: January 25, 2023
Taking care of people is at the heart of everything we do, and
we start by taking care of you, our valued colleague. A career at
Sedgwick means experiencing our culture of caring. It means having
flexibility and time for all the things that are important to you.
Its an opportunity to do something meaningful, each and every day.
Its having support for your mental, physical, financial and
professional needs. It means sharpening your skills and growing
your career. And it means working in an environment that celebrates
diversity and is fair and inclusive.A career at Sedgwick is where
passion meets purpose to make a positive impact on the world
through the people and organizations we serve. If you are someone
who is driven to make a difference, who enjoys a challenge and
above all, if youre someone who cares, theres a place for you here.
Join us and contribute to Sedgwick being a great place to
work.Great Place to WorkMost Loved WorkplaceForbes Best-in-State
Employer(Hybrid) Claims Team Lead - LiabilityPRIMARY 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 claimsBENEFITSCompetitive salaryFlexible work
scheduleReferral incentive programOpportunity to work from home -
HybridInternal career progression and developmentBenefits
eligibility and 401(k) with company match day 1OFFICE LOCATIONSWest
Des Moines, IA - HybridOmaha, NE - HybridWausau, WI -
HybridOverland Park, KS - HybridSt. Louis, MO -
TelecommuterESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Supervises multiple teams of examiners, multiple product line
examiners and/or several (minimum seven) technical operations
colleagues for a wide span of control; may delegate some duties to
others within the unit.
- Identifies and advises management of trends, problems, and
issues as well as recommended course of action; informs management
of new procedures and ideas for continuous process improvement; and
coordinates with management projects for the office.
- Provides technical/jurisdictional direction to examiner reports
on claims adjudication.
- Compiles reviews and analyzes management reports and takes
- Performs quality review on claims in compliance with audit
requirements, service contract requirements, and quality
- Acts as second level of appeal for client and claimant issues
regarding claim specific, procedural or special requests;
implements final disposition of the appeal.
- Reviews reserve amounts on high cost claims and claims over the
authority of the individual examiner.
- Monitors third party claims; maintains periodical review of
litigated claims, serious vocational rehabilitation claims,
questionable claims and sensitive claims as determined by
- Maintains contact with the client on claims and promotes a
professional client relationship; makes recommendations to client
as suggested by the claim status; and provides written resumes of
specific claims as requested by client.
- Assures that direct reports are properly licensed in the
- Ensures claims files are coded correctly and adequate
documentation is made by claims examiners.ADDITIONAL FUNCTIONS and
- Performs other duties as assigned.
- Supports the organization's quality program(s).SUPERVISORY
- 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.QUALIFICATIONSEducation &
LicensingBachelor's degree from an accredited college or university
preferred. Licenses as required. Professional certifications as
applicable to line of business preferred.ExperienceSix (6) years of
claims experience or equivalent combination of education and
experience required to include two (2) years claims supervisor
experience.Skills & Knowledge
- Thorough knowledge of claims management processes and
procedures for multiple product lines
- Excellent oral and written communication, including
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance CompetenciesWORK
ENVIRONMENTWhen 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 deadlinesPhysical: Computer keyboarding, travel as
requiredAuditory/Visual: Hearing, vision and talkingNOTE : Credit
security clearance, confirmed via a background credit check, is
required for this position.The statements contained in this
document are intended to describe the general nature and level of
work being performed by a colleague assigned to this description.
They are not intended to constitute a comprehensive list of
functions, duties, or local variances. Management retains the
discretion to add or to change the duties of the position at any
time. #LI-HybridSedgwick 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.Taking care of people is at the
heart of everything we do. Caring countsSedgwick is a leading
global provider of technology-enabled risk, benefits and integrated
business solutions. Every day, in every time zone, the most
well-known and respected organizations place their trust in us to
help their employees regain health and productivity, guide their
consumers through the claims process, protect their brand and
minimize business interruptions. Our more than 30,000 colleagues
across 80 countries embrace our shared purpose and values as they
demonstrate what it means to work for an organization committed to
doing the right thing one where caring counts. Watch this video to
learn more about us.
Keywords: Sedgwick, Jefferson City , (Hybrid) Claims Team Lead - Liability, Other , Jefferson City, Missouri
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