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

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation (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 case. 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: 6 years of claims experience or equivalent combination of education and experience required to include two (2) 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. LICENSING / JURISDICTION KNOWLEDGE California workers comp claims handling experience & SIP. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. 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 talking BENEFITS AND COMPENSATION Flexible work schedule Referral incentive program Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one A comprehensive benefits package is offered including but not limited to medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs 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 range of starting pay for this role is $100K-$102K/yr. EEO AND INCLUSION Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, 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. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. 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. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com #J-18808-Ljbffr Sedgwick Claims Management Services Ltd