Claims Team Lead | Auto Property Damage | Remote

Auto Property Damage Claims Team Lead

By joining Sedgwick, you'll be part of something truly meaningful and grow your career with us. Experience our caring culture, enjoy work-life balance, and achieve limitless potential. Newsweek recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims.

This is a remote, work-at-home, telecommuter role. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Are you an ideal candidate? Do you bring experience in auto property damage liability claims, including at least two years supervising examiners or technical staff? If so, this is your opportunity to lead a high-performing team in a role that values expertise, leadership, and collaboration. Property & Casualty licensing is a plus!

Primary purpose of the role : To supervise the operation of multiple teams of examiners and technical staff for auto property damage liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical / jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

Essential responsibilities may include :

• 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.
• Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
• Assures that direct reports are properly licensed in the jurisdictions serviced.
• Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

Supervisory responsibilities include : Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance.

Qualifications : Education & Licensing : Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Skills & knowledge : Thorough knowledge of claims management processes and procedures. Excellent oral and written communication, including presentation skills. PC literate, including Microsoft Office products. Leadership / management / 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.

Work environment requirements : When applicable and appropriate, consideration will be given to reasonable accommodations. Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Physical : Computer keyboarding, travel as required. Auditory / Visual : Hearing, vision and talking.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.