Claims Team Lead - Workers Compensation | Roseville, CA or San Diego, CA

Job Title and Location Claims Team Lead – Workers Compensation (Roseville, CA or San Diego, CA) – Hybrid (2 days onsite) Role Overview Oversees examiners handling workers compensation claims for a dedicated client. 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. Key Responsibilities Supervises examiners, 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 California workers compensation claims experience required. 2 years of supervisory experience preferred. California workers compensation claim handling experience and SIP Certified. Benefits and Compensation Starting pay range: $100,000 – $115,000 per year. Other benefits include medical, dental, vision, 401(k) with matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Flexible work schedule, referral incentive program, and career development and promotional growth opportunities. Work Environment Reasonable accommodations provided. Mental: Clear conceptual thinking, excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work‑related stress, multiple priorities, and deadlines. Physical: Computer keyboarding, travel as required. Auditory/Visual: Hearing, vision, and talking. Equal Opportunity Statement 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, 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. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd