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Workforce Absence Team Lead Sr
PRIMARY PURPOSE : The Senior Workforce Absence Team Lead is responsible for overseeing the daily operations of examiners and technical staff managing claims across multiple client programs. This role requires strong client-facing capabilities, strategic oversight, and operational excellence to ensure quality, compliance, and efficiency in claims handling. The Senior Workforce Absence Team Lead serves as a liaison between internal teams and clients, providing technical guidance, mentoring staff, and driving continuous improvement across diverse programs.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Client Relationship Management
- Acts as a primary operational contact for clients across multiple programs.
- Leads and participates in client meetings (weekly, monthly, quarterly) to support project initiatives and strategic alignment.
- Maintains proactive communication, manage claim inquiries, and track action items to ensure timely resolution.
- Prepares formal correspondence, summaries, and recommendations to support client needs.
Team Leadership & Oversight
- Supervises a team of examiners and/or technical staff, ensuring balanced workloads and high performance.
- Provides technical and jurisdictional guidance, especially on complex or high-exposure claims.
- Monitors claim coding and documentation accuracy; ensure consistent quality across programs.
- Delivers training, mentorship, and performance feedback to support team development.
Operational Excellence
- Reviews and analyzes management reports to identify trends and performance gaps.
- Conducts quality audits to ensure compliance with service standards and contractual obligations.
- Oversees claim processes and ensure updates are reflected in client communications and documentation.
- Develops and implements action plans to address operational challenges and improve outcomes.
Performance Monitoring & Reporting
- Tracks team performance against KPIs and service guarantees.
- Prepares and presents reports on claims trends, operational metrics, and improvement initiatives.
- Supports stewardship efforts by contributing to client-facing performance reviews and ensuring program alignment.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Travels as required.
SUPERVISORY RESPONSIBILITIES
- Provides support, guidance, leadership and motivation to promote maximum performance for two or more colleagues.
- 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.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Six (6) years of related claim experience or equivalent combination of education and experience required, including at least two (2) years of multi-client claims supervisory experience.
Skills & Knowledge
- Proven experience in claims management and team leadership
- Strong client-facing communication and relationship-building skills
- Expertise in jurisdictional and technical claims adjudication
- Analytical mindset with the ability to interpret data and drive performance improvements
- Ability to manage multiple programs with agility and strategic focus
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products
- Ability to create and complete comprehensive, accurate and constructive written reports
- 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
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.
