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. It’s an opportunity to do something meaningful, each and every day. It’s 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 you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

　　Great Place to Work®

　　Most Loved Workplace®

　　Forbes Best-in-State Employer

　　Claims Team Lead - Workers Compensation | Plano, TX

　　PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation 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.

　　ESSENTIAL 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 appropriate action.

　　Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.

　　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 client.

　　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 jurisdictions serviced.

　　Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

　　ADDITIONAL FUNCTIONS and RESPONSIBILITIES

　　Performs other duties as assigned.

　　Supports the organization's quality program(s).

　　SUPERVISORY RESPONSIBILITIES

　　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.

　　QUALIFICATIONS

　　Education & Licensing

　　Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

　　Experience

　　Six (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 presentation skills

　　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 Competencies

　　#claimsteamlead

　　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.

　　Taking care of people is at the heart of everything we do. Caring counts

　　Sedgwick 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. (https://www.youtube.com/watch?v=ywxedjBGSfA)