Claims Team Lead - Workers Compensation | Brea, CA

Before you apply

Job source

Workday

Applying on

sedgwick.wd1.myworkdayjobs.com

Workplace

Onsite

US state

CA

Category

Virtual Assistant

Link last checked

7 hours ago

Posted

1 day ago

Closes

No stated closing date

1. 1. Tailor your resume to this posting — it takes about a minute and noticeably improves your match score.
2. 2. Click One-Click Apply. We open the posting directly on sedgwick.wd1.myworkdayjobs.com in a new tab — Remote Me never charges for or intermediates an application.
3. 3. Create or sign in to the employer's applicant account, upload your resume, and submit their form.
4. 4. Come back and hit Save so this role stays in your dashboard — we'll notify you if the posting closes or the link breaks.

About the role

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. 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 Team Lead - Workers Compensation | Brea, CA Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for an experienced California workers’ compensation professional with strong leadership, technical claims expertise, and a client-focused approach to managing complex and high-exposure claims. OFFICE LOCATIONS Brea, CA - Hybrid (2 days in office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: Oversees a team of examiners and technical staff handling workers compensation claims for a dedicated client. 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. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises a team 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 Education & Licensing: 6 years of claims experience or equivalent combination of education and experience preferred. 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: California workers compensation claim handling experience required | SIP Certified TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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

Sedgwick is hiring remote talent through Remote Me. All listings are vetted for legitimacy.