Claims Team Lead

3 weeks ago

Newark, United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.


Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

Claims Team Lead (Auto)

PRIMARY PURPOSE : To supervise the operation of multiple teams of examiners and technical staff for 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 FUNCTIONS and RESPONSIBILITIES

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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned. Supports the organization's quality program(s).

SUPERVISORY RESPONSIBILITIES

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
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Experience
Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

Skills & Knowledge

Thorough knowledge of claims management processes and procedures for multiple product lines 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
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

NOTE:  Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Pay Transparency

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $66,275.00. 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.

  • Assistant Team Lead

    2 weeks ago

    Newark, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Assistant Team Lead

    1 week ago

    Newark, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Payments Claim Specialist

    2 weeks ago

    Newark, United States City National Corporation Full time

    PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. They must be confident when interacting directly with colleagues and clients via phone, letter or email to discuss claim decisions, obtain additional details or...

  • Claims Coordinator

    2 months ago

    Newark, United States MFS Talent Full time

    Job Description Job Details Shift: Rotating - Days - 8hrs, Monday-Friday, 16 hours / week Work Location: Onsite; Palo Alto, CA Duties and Responsibilities Claims mail processing: Responsible for complete adjudication of professional and institutional complex medical claims in accordance with departmental, health plan, and regulatory timelines and accuracy...

  • Claims Coordinator

    1 week ago

    Newark, United States MFS Talent Full time

    Job Description Job Details Shift: Rotating - Days - 8hrs, Monday-Friday, 16 hours / week Work Location: Onsite; Palo Alto, CA Duties and Responsibilities Claims mail processing: Responsible for complete adjudication of professional and institutional complex medical claims in accordance with departmental, health plan, and regulatory timelines and accuracy...

  • Claims Examiner

    2 weeks ago

    Newark, United States Prudential Full time

    Job Classification: Operations - Insurance Operations - The Office of Servicemembers' Group Life Insurance (OSGLI) administers the Servicemembers' Group Life Insurance program (SGLI). SGLI offers life insurance products to active-duty service members, Veterans, and their families. Prudential has been aiding our service members since 1965. Prudential has...

  • Field Roof Technician

    1 month ago

    Newark, United States Hancock Claims Consultants Technicians Full time

    Job DescriptionJob DescriptionCLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers and adjusters in your area. This is an independent contractor position.We are seeking professional inspectors to join our...

  • Field Roof Technician

    1 week ago

    Newark, United States Hancock Claims Consultants Technicians Full time

    Job DescriptionJob DescriptionCLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers and adjusters in your area. This is an independent contractor position.We are seeking professional inspectors to join our...

  • Claims Specialist

    6 days ago

    Newark, United States NJ TRANSIT Full time

    : Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from all relevant parties, regarding claims and legal actions filed against NJ TRANSIT. Assists defense counsel in all facets of trial preparation to affect a successful resolution of litigated cases. Utilizes knowledge,...

  • Claims Specialist

    2 weeks ago

    Newark, United States NJ TRANSIT Full time

    : Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from all relevant parties, regarding claims and legal actions filed against NJ TRANSIT. Assists defense counsel in all facets of trial preparation to affect a successful resolution of litigated cases. Utilizes knowledge,...

  • Claims Specialist

    3 weeks ago

    Newark, United States NJ TRANSIT Full time

    Claims Specialist (TC) Finance Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in North America. We are committed to delivering safe, reliable service that gets customers to their destinations on timeand we're looking to hire talented folks with a commitment to excellence to make it all possible. ...

  • Claims Specialist

    1 week ago

    Newark, United States NJ TRANSIT Full time

    Claims Specialist (TC) Finance Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in North America. We are committed to delivering safe, reliable service that gets customers to their destinations on timeand we're looking to hire talented folks with a commitment to excellence to make it all possible. ...

  • Claims Case Manager

    7 days ago

    Newark, United States Exelon Corporation Full time

    **Description** We're powering a cleaner, brighter future. Exelon is leading the energy transformation, and we're calling all problem solvers, innovators, community builders and change makers. Work with us to deliver solutions that make our diverse cities and communities stronger, healthier and more resilient. We're powered by purpose-driven people like...

  • Property Field Claims Adjuster

    1 week ago

    Newark, United States American Family Insurance Full time

    At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best - protecting and restoring their dreams when they need us most. We're using our expertise, technology and new ways of working to reinvent one of America's largest industries—creating...

  • Claims Adjuster

    2 days ago

    Newark, United States HomeSafe Alliance Full time

    Title: Claims Adjuster (SCA) HHG/Military Move HomeSafe Alliance is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families. This is an SCA position . Position Summary : HomeSafe Alliance is...

  • Business Analyst Claims Technology

    5 days ago

    Newark, United States Bank of America Full time

    Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for...

  • Team Lead

    5 days ago

    Newark, United States The Millennium Group Full time

    Job DescriptionJob DescriptionUnder the direct supervision of the Account Manager the Team Lead is responsible for Shipping/Receiving and accurately sorting, posting and delivering mail and packages.KEY RESPONSIBILITIES:• Serve as liaison between TMG's mail and office services team and client departments. Drive throughout the metro Newark, De area to...

  • Team Lead

    2 weeks ago

    Newark, United States Qdoba Full time

    The Team Lead is responsible for managing restaurant operations, in conjunction with or in the absence of the Restaurant Manager. Uses discretion in daily management decisions with accountability for living the Brand values and helping the brand thrive. Focuses on developing a people and guest-centric culture that consistently delivers excellent guest...

  • Implementation Lead

    3 weeks ago

    Newark, United States Contech Systems Full time

    The successful implementation / Integration Lead must have strong customer facing skills; Strong communication skills; strong technical skills to understand the big picture and drill down into the individual components of the implementation. Implementation / Integration Lead Location: Newark, NJ (Hybrid) Duration: contract to hire Interview process: WebEx...

  • Logistics Team Lead

    4 days ago

    Newark, United States HQ Pack California Full time

    **SUMMARY**:Responsible for leading the activities of the Logistics department under the supervision of the Production Supervisor. Duties include but are not limited to: responsibility for movement of products into/within the facility, picking and loading of product shipping out of the facility; inventory counts, and ensuring that all policies and procedures...