Claims Management Supervisor

3 weeks ago


Dublin, Ohio, United States Sedgwick Full time
Job Title: Workforce Absence Team Lead

About the Role:

Sedgwick is seeking a highly skilled Workforce Absence Team Lead to join our team. As a Workforce Absence Team Lead, you will be responsible for supervising multiple teams of examiners and technical staff for disability claims for clients. You will monitor colleagues' workload, provide training, and monitor individual claim activities. You will also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims within the teams.

Key Responsibilities:

  • Supervise multiple teams of examiners and/or several technical operations colleagues for a wide span of control.
  • Identify and advise management of trends, problems, and issues as well as recommended course of action.
  • Provide technical/jurisdictional direction to examiner reports on claims adjudication.
  • Compile, review, and analyze management reports and take appropriate action.
  • Perform quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
  • Act as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests.
  • Review reserve amounts on high cost claims and claims over the authority of the individual examiner.
  • Maintain contact with the client on claims and promote a professional client relationship.

Requirements:

  • Bachelor's degree from an accredited college or university preferred.
  • Licenses as required.
  • Professional certifications as applicable to line of business preferred.
  • Six (6) years of claims experience or equivalent combination of education and experience required.
  • Two (2) years of claims supervisory experience preferred.

Work Environment:

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We are committed to creating a diverse, equitable, and inclusive workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification, consider applying anyway. We recognize that each person possesses a unique combination of skills, knowledge, and experience.



  • Dublin, Ohio, United States Sedgwick Claims Management Services Full time

    About the RoleSedgwick Claims Management Services is seeking a skilled LTD Claims Specialist to join our team. In this role, you will be responsible for processing Permanent Total Disability claims and cases in non-payment status.Key ResponsibilitiesProcess Permanent Total Disability claim Coordinator, Disability, Insurance, Claims, SkillsAbout YouWe are...


  • Dublin, Ohio, United States Sedgwick Claims Management Services Full time

    Job SummarySedgwick Claims Management Services seeks a highly skilled and experienced professional to lead our Workforce Absence Team. As a key member of our leadership team, you will be responsible for supervising multiple teams of examiners and technical staff, ensuring the efficient processing of disability claims for our clients.Key...

  • Claims Attorney

    3 weeks ago


    Dublin, Ohio, United States Universal Shield Insurance Group Full time

    Job Title: Claims Attorney - Insurance Claims SpecialistA Claims Attorney specializes in managing insurance claims and disputes, with expertise in reviewing insurance policies, contracts, and related documents to assess coverage, liability, and damages. This role requires strong negotiation skills and a focus on resolving claims efficiently.Key...


  • Dublin, Ohio, United States CorVel Corporation Full time

    At CorVel Corporation, we are seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due. You will work closely with case managers and attorneys to manage...


  • Dublin, Ohio, United States Universal Shield Insurance Group Full time

    About the Job:Universal Shield Insurance Group, a hybrid property and casualty insurer and insurtech, is seeking an experienced Senior Garage Claims Adjuster. This role offers partial work from home flexibility, as agreed by management.As a key member of our team, you will be responsible for handling complex claims in states where we operate. With a higher...


  • Dublin, Ohio, United States Universal Shield Insurance Group Full time

    Job Title: Commercial Casualty Claims AdjusterUniversal Shield Insurance Group is seeking an experienced Commercial Casualty Claims Adjuster to join our team. This is a hybrid position and will be located at our Dublin, Ohio Corporate office location.Responsibilities:Claims Handling: Investigate, evaluate, and adjust assigned claims in accordance with all...


  • Dublin, Ohio, United States Five Star Parks and Attractions Full time

    Job SummaryThe Supervisor position plays a crucial role in assisting Operations Managers and General Managers with real-time operations to maximize resources and achieve customer satisfaction, productivity, and economic goals.Key ResponsibilitiesAssist managers in overseeing daily operations of all crew at the facilityEnsure standup meetings are completed...

  • Accounting Supervisor

    4 weeks ago


    Dublin, Ohio, United States Cardinal Health Full time

    Job SummaryCardinal Health is seeking an experienced Accounting Supervisor to join our team. As an Accounting Supervisor, you will be responsible for managing the end-to-end accounting processes for the Major, Rugby, First Vet, and Parmed businesses within the Pharmaceutical Segment of Cardinal Health.Key Responsibilities:Manage the accounting processes for...

  • Supervisor

    4 weeks ago


    Dublin, Ohio, United States My 5 Star Trucking Full time

    Job SummaryThe Supervisor position plays a crucial role in ensuring the smooth operation of our facilities. As a key member of our team, you will assist the Operations Managers and General Manager in overseeing daily operations, maximizing resources, and achieving customer satisfaction, productivity, and economic goals.Key ResponsibilitiesAssist managers in...


  • Dublin, Ohio, United States Ross Stores, Inc. Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Store Operations Supervisor to join our team at Ross Stores, Inc. This role will be responsible for supervising teams and projects that support the opening of new stores, store relocations, natural disaster repairs, and going out of business programs.Key ResponsibilitiesSupervise project leads...

  • Sanitation Supervisor

    4 weeks ago


    Dublin, Ohio, United States Shaner Hotel Group Full time

    Sanitation Supervisor Job SummaryWe are seeking a highly skilled Sanitation Supervisor to join our team at the AC Hotel Columbus Dublin. As a Sanitation Supervisor, you will be responsible for maintaining the highest standards of cleanliness and sanitation throughout the hotel.Key Responsibilities:Ensure all areas of the hotel are clean and well-maintained,...


  • Dublin, Ohio, United States The LaSalle Group Full time

    Unlock Your Potential in Healthcare AdministrationLaSalle Network is seeking a skilled Patient Registration Coordinator to join our dynamic team in Dublin, OH. As a key member of our healthcare revenue cycle management team, you will play a vital role in ensuring seamless patient registration and coordination.Key Responsibilities:Engage with patients,...

  • Kitchen Manager

    4 weeks ago


    Dublin, Ohio, United States Jerome Village Bar & Grill Full time

    Job OpportunityWe are seeking an experienced and skilled Kitchen Supervisor to join our team at Jerome Village Bar & Grill. As a key member of our culinary team, you will be responsible for overseeing the day-to-day operations of the kitchen, ensuring that our high standards of quality and service are consistently met.Key Responsibilities:Manage kitchen...


  • Dublin, Ohio, United States Select Medical Full time

    Job Title: LPN Neuro Rehab Coach SupervisorWe are seeking a highly skilled and dedicated LPN Neuro Rehab Coach Supervisor to join our team at OhioHealth Neuro Transitional Center. As a key member of our rehabilitation team, you will play a vital role in providing exceptional care to our patients with acquired brain injuries or spinal cord injuries.Job...


  • Dublin, Ohio, United States ViaQuest Full time

    Accounts Payable Manager Job DescriptionViaQuest is seeking a highly skilled and experienced Accounts Payable Manager to join our team. As a key member of our finance department, you will be responsible for overseeing the entire accounts payable process, ensuring timely and accurate payment of invoices, and maintaining a high level of customer...

  • Accounting Manager

    4 weeks ago


    Dublin, Ohio, United States Cardinal Health Full time

    Job SummaryThe Cardinal Health Accounting Manager will oversee the financial operations of the Navista and Specialty growth businesses. This role requires a strong accounting background and leadership skills to manage a team of professionals and front-line supervisors.Key ResponsibilitiesManage department operations and supervise professional employees,...


  • Dublin, Ohio, United States Ross Stores Full time

    Job SummaryRoss Stores is seeking a highly skilled and motivated Area Supervisor to join our team. As an Area Supervisor, you will be responsible for overseeing the daily operations of a specific area of the store, ensuring a positive and engaging customer experience, and driving sales growth.Key Responsibilities:Supervise and manage a team of associates to...


  • Dublin, Ohio, United States Mobile Wound Healing LLC Full time

    About the RoleThe Wound Care Billing Specialist is a key member of our team at Mobile Wound Healing LLC, responsible for ensuring timely and accurate payment for wound care services. This involves reviewing medical documentation, coding procedures, submitting claims, and following up with insurance companies to resolve any issues.ResponsibilitiesReview and...


  • Dublin, Ohio, United States TAJ Technologies Inc Full time

    Job SummaryTAJ Technologies Inc is seeking a highly skilled IT Systems Analyst Specialist Sr to lead the requirements management efforts for large projects. The ideal candidate will have a strong understanding of third-party administration/claims management business and technology, as well as excellent analytical, organizational, and interpersonal skills.Key...


  • Dublin, Ohio, United States Sweetwaters of Bridge Park Full time

    Job SummaryWe are seeking a skilled Team Leader to join our team at Sweetwaters of Bridge Park. As a Team Leader, you will be responsible for delivering excellent guest service, managing shift team members, and promoting a positive work environment.Key ResponsibilitiesLead and develop a high-performing team to deliver exceptional guest experiencesManage...