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Absence Management Team Lead
- Access Dubuque (Dubuque, IA)
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Absence Management Team Lead
Sedgwick
1 Positions
ID: R59827
Posted On 05/08/2025
Job Overview
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
Absence Management Team Lead
Our teams connect! We collaborate onsite and have a hybrid work arrangement. The ideal candidate must live near one of the following centers of excellence:
**Dubuque, IA** : 4141 Westmark Drive, Dubuque, IA 52002
**Cedar Rapids, IA** : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401
**Dublin, OH** : 5500 Glendon Court Dublin OH 43016
**PRIMARY PURPOSE** **:** To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, 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 within the teams including frequent diaries on complex or high exposure claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
+ Supervises multiple teams of examiners and/or several 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. Two (2) years of claims supervisory experience preferred.
Skills & Knowledge
+ Thorough knowledge of claims management procedures and processes for disability
+ 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
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.
Primary Contact
1645458383738
Amanda Strothman
,
Phone
Phone
Phone
Fax
Email
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Job Details
Categories
Insurance
Management/Executive
Technical
Location
Dubuque, IA
Job Type
Employee
Full/Part
Full Time
Company ID
8326
Job REQ #
R59827
\# Positions
1
Start Date
20250508
End Date
20250611
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Sedgwick
About the Company
Career Development
Our goal is to make Sedgwick CMS a place where great people can do great things for our clients. This commitment is evidenced by our colleague development program and supported by our multi-dimensional learning resources.
We invest in the education of our colleagues by providing training and learning resources that focus on our culture, procedures, systems and performance expectations. We evaluate the educational needs of our colleagues through performance discussions and evaluations. These needs are filled either through Sedgwick CMS University and through industry certification programs and other external educational resources . Sedgwick CMS University curriculum offerings take colleagues from orientation to technical training to supervisory and managerial development. Through Sedgwick CMS University, we provide our colleagues continuous development of professional skills and the ability to deliver quality service to our clients.
Colleague Orientation
We offer a required colleague orientation program that allows us to verify and document the training provided to new colleagues. This program is called Personal Responsibility in Developing Excellence (PRIDE) and is the first component of our comprehensive career development process. This program introduces and orients new and transitioning colleagues to our company and to their new position. PRIDE will take colleagues through the first 90 days of their new position. Objectives of this program focus on providing colleagues an increased awareness of who we are, where we are going, and how they can help us get there.
Career Paths
Career path options are identified through an ongoing process of discussion and collaboration between colleagues and their managers. On an ongoing basis, our managers counsel colleagues regarding their career path, new opportunities, and additional training and development requirements to help them reach their individual goals.
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