Hiring: Workers Compensation - Claims Team Lead Company: Sedgwick Location: Orange, CA Job Posted Time: 2026-09-11 10:17:07 Employment Type: Remote About the job Experience: •6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Required Skills: •Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. 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 case. •Supervises multiple teams of examiners and technical operations colleagues, 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: •High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. •Professional certification as applicable to line of business preferred. •Licensing / Jurisdiction Knowledge: SIP & California Workers Compensation claims handling experience Compensation: •Flexible work environment (work from home / hybrid options) •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!