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Sedgwick

Claims Team Lead, Auto – PIP

Sedgwick

. Supervise personal injury protection examiner teams and technical staff for clients .

Posted 9/29/2026full-timeRemote • Texas • United StatesSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in claims management processes and procedures, with a strong focus on supervising teams and providing technical direction. Proven ability to analyze claims data, maintain client relationships, and ensure compliance with quality standards.

Highest-signal resume keywords
Claims ManagementTeam SupervisionAnalytical SkillsLeadership SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims AdjudicationQuality ReviewProcess ImprovementPerformance CompetenciesClaims Coding
Soft Skills
Interpersonal SkillsNegotiation SkillsOrganizational SkillsMotivational SkillsTeam Collaboration
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Licenses as Required
Industry Keywords
Personal Injury ProtectionClaims ExperienceTechnical OperationsManagement ReportsClient Relationships

About the role

Key responsibilities & impact
  • Supervise personal injury protection examiner teams and technical staff for clients
  • Monitor colleagues' workloads and individual claim activities
  • Provide training and technical/jurisdictional direction on claims adjudication
  • Supervise multiple examiner teams, product line examiners, and/or technical operations colleagues
  • Identify and advise management on trends, problems, issues, and recommended actions
  • Coordinate projects with management and support continuous process improvement
  • Compile, review, and analyze management reports and take appropriate action
  • Perform quality reviews on claims in compliance with audit, service contract, and quality standards
  • Act as second level of appeal for client and claimant issues and implement final dispositions
  • Maintain client contact, promote professional client relationships, and provide claim summaries
  • Ensure direct reports are properly licensed and claims files are correctly coded and documented
  • Administer personnel policies, interview and hire colleagues, establish performance plans, conduct performance discussions, and provide leadership and motivation

Requirements

What you’ll need
  • Six (6) years of claims experience or equivalent combination of education and experience required, including two (2) years of claims supervisor experience
  • Licenses as required
  • Thorough knowledge of claims management processes and procedures for multiple product lines
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership, management, and motivational skills
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Benefits

Comp & perks
  • Work-life balance
  • Caring culture
  • Diversity, equity, and inclusion workplace
  • Equal Opportunity Employer
  • Drug-Free Workplace