Adjuster Team Lead

Adjuster Team Lead

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

Primary Purpose

To oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.

Essential Functions and Responsibilities

• Designs and coordinates management and oversight of third party administrator claims.
• Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
• Oversees the work of assigned colleagues, including project assignment and workflow.
• Manages and approves insurance and matured endowment claims.
• Monitors management reports relating to the area / office performance.
• Analyzes and performs audits to existing claims for liabilities and adherence to company standards.
• Resolves and adjusts errors and complaints.

Additional Functions and Responsibilities

Supervisory Responsibilities

Qualifications

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Ten (10) years of related experience and / or training or equivalent combination of education and experience required.

Skills & Knowledge

Work Environment

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment 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

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. 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.