Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Team Lead, Professional Liability

Sedgwick Claims Management Services Ltd

  • # Claims Team Lead, Professional LiabilityApplylocations: Telecommuter RItime type: Full timeposted on: Posted Todayjob requisition id: R71459By 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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Team Lead, Professional Liability**PRIMARY PURPOSE OF THE ROLE:** 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 claims.**ARE YOU AN IDEAL CANDIDATE?** We are seeking experienced leaders to supervise multiple teams of Professional Liability specialists while overseeing complex and high‐exposure claims. Ideal candidates demonstrate strong leadership, technical expertise, and sound judgment, while driving quality, compliance, and effective claim resolution. Successful individuals thrive in a collaborative environment, build strong client relationships, and are committed to continuous improvement and team development.**ESSENTIAL RESPONSIBLITIES MAY INCLUDE*** Supervises multiple teams of PL Specialists and/or multiple claims colleagues for wide span of control* 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.* Identifies and advises management of trends, problems, and issues; makes recommendations on course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for assigned office(s).* Provides technical/jurisdictional direction to PL Specialists on claims issues and resolution.* 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.* Reviews reserve amounts on high cost claims and claims over the authority of individual PL Specialists.* Maintains periodic review of claims that are litigated, sensitive, or questionable as determined by the client.* Maintains contact with client on claims and promotes professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes on specific claims as requested by client.* Ensures that direct reports are properly licensed in the jurisdiction serviced.* Ensures claim files are coded correctly and adequate documentation is made by PL Specialists.* Performs other duties as assigned.* Supports the organization quality program(s).**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: Eight (8) years of claims management experience related to professional liability claims or equivalent combination of education and experience required to include two (2) years of claims supervisor experience.**TAKING CARE OF YOU*** Offering flexibility and autonomy.* Supporting meaningful work that promotes critical thinking and problem solving.* Providing on-going learning and professional growth opportunities.* Promoting a strong team environment and a culture of support.* Recognizing your successes and celebrating your achievements.* We offer diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.Work environment: When applicable and appropriate, consideration will be given to reasonable accommodation. Physical: Computer keyboarding, travel as required 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; and ability to meet deadlines.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.
  • J-18808-Ljbffr Sedgwick Claims Management Services Ltd

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Claims Team Lead, Professional Liability in Providence, RI vacancy
  • $85k - $110k

     ...Claims Team Lead - General Liability | Remote (Evergreen) Primary Purpose To supervise the operation of multiple teams of examiners and technical...  ...contact with the client on claims and promotes a professional client relationship; makes recommendations to client as... 
    Claims
    Contract work
    Work at office
    Remote work
    Flexible hours

    Sedgwick Law

    Providence, RI
    3 days ago
  • $100k - $125k

     ...A leading claims administration firm is seeking a Sr. Claims Specialist to analyze and resolve complex professional liability claims. The ideal candidate will have six years of claims management experience and strong negotiation and analytical skills. Responsibilities... 
    Claims
    Remote work

    Sedgwick

    Providence, RI
    19 hours ago
  • $105k - $120k

     ...Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care Job Description...  ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps... 
    Claims
    Local area
    Flexible hours

    Sedgwick

    Providence, RI
    5 days ago
  • $108.8k - $163.2k

     ...Sr Claims Analyst FL - CV08DE We're determined to make a difference...  ...theirs, too. Join our team as we help shape the future....  ...Analyst - Allied Health Professional Liability manages complex primary and...  ...Appropriately escalate matters to Team Lead/management per escalation... 
    Claims
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    Providence, RI
    2 days ago
  • $100k - $125k

     ...Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose...  ...skills Ability to work in a team environment Ability to meet or exceed...  ...other roles. Sedgwick is the world\’s leading risk and claims administration... 
    Claims
    Work at office
    Local area
    Remote work
    Flexible hours

    Sedgwick

    Providence, RI
    1 day ago
  • $62.4k - $93.6k

     ...Sr Representative Claims - CH08BE Sr Representative Clms CA - CH0...  ...accomplish theirs, too. Join our team as we help shape the future. The General Liability Litigation Senior Claim...  ...Operations Claims, Product Liability, Professional Claims, Advertising Injury claims... 
    Claims
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Remote work
    Monday to Friday
    3 days per week

    The Hartford

    Providence, RI
    1 day ago
  • Property Claim Professionals is looking for an experienced Multi-Line Claims Adjuster who can handle both property and liability claims remotely. Ideal candidates should have at least 5 years of adjusting experience, preferably with a strong understanding of property and... 
    Claims
    Remote job

    Property Claim Professionals

    Providence, RI
    1 day ago
  • Liability Claims Adjuster | Auto & General Liability Experience | CA, FL & NY Jurisdictional Knowledge Dedicated Client with Capped Caseloads...  ...carrier and responding to requests of directions in a professional and timely manner. Qualifications Education & Licensing: 3... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Providence, RI
    3 days ago
  • $82.8k - $124.2k

     ...Claims Analyst FL - CV08CE We're determined to...  ...theirs, too. Join our team as we help shape the future...  ...Employment Practices Liability ("EPL") unit, you...  ...impact to the policy, leading to the development of...  ...and other issues; Professionally and appropriately working... 
    Claims
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    Providence, RI
    19 hours ago
  •  ...Sedgwick in Rhode Island seeks a Claims Examiner to manage complex bodily injury and general liability claims. This remote position requires 5 years of experience in liability claims management and involvement in negotiations and settlements. A bachelor's degree is preferred... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Providence, RI
    2 days ago
  • $85k - $110k

     ...Sedgwick is seeking a Claims Team Lead - General Liability to supervise multiple teams of examiners. This role involves ensuring high-quality claims management, training staff, and providing technical direction on adjudication. Candidates should have a bachelor’s degree... 
    Claims
    Remote work

    Sedgwick

    Providence, RI
    12 days ago
  • $63.4k - $80k

     ...Sedgwick is seeking a Claim Examiner specializing in water damage claims. In this remote position, you will analyze complex claims, manage liability exposure, and negotiate settlements. Ideal candidates will have at least 4 years of Liability claims management experience... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Providence, RI
    1 day ago
  • $75k - $100k

    A leading risk management company located in Rhode Island is looking for a claims management specialist to analyze complex general liability claims. The role involves negotiating settlements, ensuring timely claim resolution, and requires a Bachelor's degree and 5 years... 
    Claims

    Sedgwick

    Providence, RI
    4 days ago
  • $125k - $175k

     ...status and strategy. Review liability, damages, medical records, and...  ...coverage to evaluate claims. Draft and submit demand packages...  ...volunteer service leave; and more. Professional Development: Ongoing...  ...grow professionally within a team-oriented environment. Apply... 
    Claims
    Work at office
    Remote work

    Providence Staffing LLC

    Providence, RI
    3 days ago
  •  ...dynamic organization supplying quality claims outsource solutions to insurance carriers...  ...reasonable cost. We excel in providing professional, knowledgeable claims professionals to...  ...property claims, as well as handle complete liability investigations, task assignments... 
    Claims
    Immediate start
    Remote work

    Property Claim Professionals

    Pawtucket, RI
    19 hours ago
  • $68k - $70k

    A leading claims management firm is seeking a Liability Claims Adjuster to manage claims and negotiate settlements within designated authority. Candidates should have at least 3 years of claims management experience, along with a high school diploma or GED (a Bachelor's... 
    Claims
    Remote job
    Flexible hours

    Sedgwick

    Providence, RI
    3 days ago
  • $15k

     ...: Handles losses and claims valued up to $15,000 for...  ...Determine coverage, liability, and exposure based on...  ...claim status clearly and professionally with internal...  ...Ability to work in a team environment Ability...  ...Sedgwick is the world's leading risk and claims administration... 
    Claims
    For contractors
    Work at office
    Local area

    Sedgwick

    Providence, RI
    1 day ago
  • $70k

     ...Financial Services & Insurance Claims Examiner, Auto | Bodily...  ...investigations, determining liability and evaluating the scope of...  ...We are seeking experienced professionals to manage complex commercial...  ...roles. Sedgwick is the world’s leading risk and claims... 
    Claims
    Local area
    Flexible hours

    Sedgwick

    Providence, RI
    1 day ago
  • $86.3k - $118.7k

    A leading healthcare company is seeking a Senior Compliance Professional in Providence, RI. The role involves ensuring compliance with Medicare Part C claims through the development of compliance policies, auditing business processes, and conducting regulatory research.... 
    Claims
    Remote work

    Humana

    Providence, RI
    19 hours ago
  •  ...100 firm, is actively seeking an attorney to join its General Liability Practice. The ideal candidate will have strong research and writing...  ...a defense for a myriad of property and personal injury claims, for both businesses and individuals who may be insured or self... 
    Claims
    Hourly pay
    Work at office

    Lewis Brisbois

    Providence, RI
    1 day ago
  • Under the direction of the Care New England Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone...  ...for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets and functions as... 
    Claims
    Work at office

    Care New England Health System

    Providence, RI
    1 day ago
  • $125k - $175k

     ...status and strategy. • Review liability, damages, medical records,...  ...insurance coverage to evaluate claims. • Draft and submit demand...  ...leave; and more. • Professional Development: Ongoing mentorship...  ...grow professionally within a team-oriented environment. Apply... 
    Claims
    Work at office
    Remote work

    Providence Staffing LLC

    Providence, RI
    22 days ago
  • $75k - $85k

     ...Services & Insurance Claims Examiner, Auto | Bodily...  ...investigations, determining liability and evaluating the...  ...university preferred. Professional certification as...  ...ability to work in a team environment. Secure and...  ...Sedgwick is the world’s leading risk and claims administration... 
    Claims
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Providence, RI
    6 days ago
  • $92.6k - $123.6k

     ...Claims Team Manager - Subrogation Auto Job Summary This management...  ...succession plan. Lead meetings in collaboration with...  ...Vehicles record and minimum liability insurance - Issued by State...  ...career-minded, service-driven professionals to join our team. "Through... 
    Claims

    AAA Auto Club Group

    Lincoln, RI
    2 days ago
  •  ...policyholders in the negotiation and settlement of property insurance claims. The ideal candidate will possess a strong understanding of...  ...-based bonuses and incentives. Opportunities for professional growth and continuing education. If you are a detail-oriented... 
    Claims
    For contractors
    Work at office

    Cedar Valley Exteriors

    Providence, RI
    19 hours ago
  • $110k - $120k

    A leading claims administration firm is seeking a Sr. Claims Specialist for its Providence location. The role involves analyzing complex medical malpractice claims, coordinating case management, and managing claim costs while providing high levels of customer service.... 
    Claims

    Sedgwick

    Providence, RI
    2 days ago
  •  ...Ambulatory Pharmacy Lead Training Technician The ambulatory pharmacy lead training...  ...inputting data, performing adjudication on test claims and preparing action plans for follow-up...  ...in educational opportunities; reading professional publications; maintaining personal... 
    Claims

    Kent Hospital

    Providence, RI
    19 hours ago
  • $139.4k - $291.8k

     ...The AI Gigascale Construction Cost Manager Lead (OCI) provides end-to-end cost leadership...  ...build and lead a cost controls function and team, establishing standardized processes,...  ...documentation. Evaluate change orders and claims: pricing, entitlement, schedule linkage, and... 
    Claims
    Contract work
    Temporary work
    Remote work
    Work from home
    Flexible hours
    Shift work

    Oracle

    Providence, RI
    3 days ago
  • $15k

     ...training Primary Purpose Handles losses and claims valued up to $15,000 for property and...  ...inspection to determine extent of company's liability and varying methods of investigation,...  ...constructive written reports Ability to work in a team environment Ability to meet or exceed... 
    Claims
    Work at office
    Local area
    Remote work

    Sedgwick Law

    Providence, RI
    4 days ago
  • $68.8k - $94k

     ...A public sector solutions firm located in Providence, RI, is looking for a TPA Claiming Lead to oversee claims management within the School-Based Services sector. The candidate will ensure efficiency and compliance in TPA claiming processes, supervise staff, and work closely... 
    Claims
    Remote work

    Public Consulting Group

    Providence, RI
    19 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Team Lead, Professional Liability. Be the first to apply!