Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA)

Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA) Responsibilities 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. Qualifications 6 years of claims experience or equivalent combination of education and experience, including two (2) years of 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. Benefits Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Diverse and comprehensive benefits offering: medical, dental, vision, 401(k) on day one. Compensation Pay range for this role: $100,000–$105,000 per year. A comprehensive benefits package is offered, including medical, dental, vision, 401(k) with matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Work Environment and Accommodations When applicable and appropriate, consideration will be given to reasonable accommodations. Physical: Computer keyboarding Auditory/Visual: Hearing, vision, and talking 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; ability to meet deadlines. Legal Notice Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. Qualified applicants with arrest or conviction records will be considered for employment in accordance with various local and state Fair Chance ordinances. #J-18808-Ljbffr Sedgwick