Claims Team Lead – Workers Comp

Sedgwick

. Supervise multiple teams of workers' compensation examiners and technical staff .

Posted 11/11/2026full-timeOntario • California • United StatesSenior💰 $80,000 - $112,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in workers' compensation claims management, including supervision of teams, claims adjudication, and process improvement. Possesses strong analytical, organizational, and communication skills essential for effective leadership and client relationship management.

Highest-signal resume keywords

Workers' Compensation Claims HandlingClaims Management ProcessesLeadership and Management SkillsAnalytical and Interpretive SkillsSIP Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationClaims ExperiencePerformance CompetenciesQuality ReviewsClaims CodingManagement ReportingTrend AnalysisClient Relationship ManagementTraining and DevelopmentPerformance Development Plans

Soft Skills

Excellent Oral and Written CommunicationInterpersonal SkillsNegotiation SkillsOrganizational SkillsMotivational Skills

Tools & Technologies

Microsoft Office

Certifications & Qualifications

SIP Certification

Industry Keywords

Workers' CompensationClaims Supervisor ExperienceCalifornia Workers' CompensationClaims Files DocumentationThird-Party ClaimsVocational RehabilitationAudit StandardsService Contract Standards

About the role

Key responsibilities & impact

Supervise multiple teams of workers' compensation examiners and technical staff
Monitor colleagues' workloads and individual claim activities
Provide training and technical/jurisdictional direction on claims adjudication
Maintain claim diaries, including frequent diaries on complex or high-exposure claims
Identify trends, problems, and issues and advise management on recommended actions
Inform management of new procedures and continuous process improvement ideas
Coordinate office projects with management
Compile, review, and analyze management reports and take appropriate action
Perform quality reviews on claims according to audit, service contract, and quality standards
Act as second-level appeal for client and claimant issues and implement final dispositions
Review reserves on high-cost claims and claims exceeding examiner authority
Monitor third-party claims and review litigated, serious vocational rehabilitation, questionable, and sensitive claims
Maintain client contact, promote professional client relationships, and make claim-status recommendations
Provide written claim resumes to clients as requested
Ensure claims files are correctly coded and adequately documented
Administer personnel policies and follow staffing and training recommendations
Interview, hire, establish performance development plans, and conduct performance discussions
Provide support, guidance, leadership, and motivation
Perform other duties as assigned
Support the organization's quality programs

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred
California workers' compensation claims handling experience
SIP certification preferred
Six (6) years of claims experience or equivalent combination of education and experience required
Two (2) years of claims supervisor experience
Thorough knowledge of claims management processes and procedures for multiple product lines
Excellent oral and written communication, including presentation skills
PC literacy, 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
Direct reports must be properly licensed in jurisdictions serviced

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Career development and promotional growth opportunities
Medical, dental, and vision benefits
401(k) and matching
Paid time off (PTO)
Disability and life insurance
Employee assistance program
Flexible spending account or health savings account
Additional voluntary benefits
Reasonable accommodations