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

Claims Team Lead – Workers Compensation (HYBRID – West Hills, CA) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in an energetic culture. Deliver innovative customer‑facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry‑leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. Office Location HYBRID – West Hills, CA Primary Purpose of the Role Oversees multiple teams of examiners and technical staff 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 cases. Essential 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 Education & Licensing Six years of claims experience or equivalent combination of education and experience, including two 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 knowledge. Benefits & Work Environment Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Diverse and comprehensive benefits including medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. On‑day‑one 401(k) match. Work Environment Requirements 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 deadlines. Physical: Computer keyboarding. Auditory/Visual: Hearing, vision and speaking. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the starting pay range is $100K-$105K per year. Equal Employment Opportunity 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 the Los Angeles County Fair Chance Ordinance, 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. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd