Claims Team Lead - Workers Compensation | Jurisdiction & Licensing: NV Required (Remote)
Sedgwick - Las Vegas, NV
Hiring: Claims Team Lead - Workers Compensation | Jurisdiction & Licensing: NV Required (Remote) Company: Sedgwick Location: Las Vegas, NV Job Posted Time: 2026-09-11 10:17:07 Employment Type: Contract / Remote About the job Required Skills: •Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. •Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. •Provides technical/jurisdictional direction to examiner reports on claims adjudication. •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. •Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. •Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. •Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Qualifications: •Assures that direct reports are properly licensed in the jurisdictions serviced. Compensation: •Competitive benefits and rewards package •A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!