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Claims Team Lead Jobs (NOW HIRING)

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Claims Team Lead information

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$25

$72

How much do claims team lead jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for claims team lead in the United States is $25.73, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $24.04 per hour, depending on experience, location, and employer.

What does a claims team lead do?

A Claims Team Lead is responsible for overseeing a team of claims adjusters or examiners within an insurance company. Their main duties include managing the workflow, providing guidance and training, ensuring claims are processed accurately and efficiently, and handling escalated or complex claims. They play a key role in maintaining high levels of customer service and ensuring compliance with company policies and industry regulations.

What are the key skills and qualifications needed to thrive as a claims team lead?

To thrive as a Claims Team Lead, you need in-depth knowledge of insurance claims processes, strong analytical abilities, and experience in claims handling, typically backed by a bachelor's degree and relevant industry experience. Familiarity with claims management software, regulatory compliance tools, and possibly certifications like AIC or CPCU is often required. Leadership, effective communication, and conflict resolution are crucial soft skills for managing teams and ensuring service excellence. These skills and qualifications are vital for driving efficient claims operations, maintaining compliance, and fostering a positive, high-performing team environment.

What is the difference between Claims Team Lead vs Claims Adjuster?

Claims Team LeadClaims Adjuster
Supervises and coordinates claims staffHandles individual claims processing
Requires leadership and team management skillsFocuses on evaluating and settling claims
Typically has more experience and certificationsRequires claims handling certifications and knowledge
Works in a team environment overseeing claims operationsWorks independently on claims assessment

The Claims Team Lead oversees a team of claims adjusters, providing guidance and managing workflows, while the Claims Adjuster focuses on evaluating and settling individual claims. Both roles require claims handling certifications, but the Team Lead also needs leadership skills. The Team Lead operates in a supervisory capacity within the claims department, whereas the Adjuster works directly with policyholders to resolve claims efficiently.

What is a claims team lead?

A claims team lead is a supervisor responsible for overseeing claims processing within an insurance or similar organization. They coordinate team activities, review claims for accuracy, and ensure compliance with company policies, often using claims management software. Strong leadership, communication skills, and knowledge of claims procedures are essential for this role.

Is claims team lead a stressful job?

A claims team lead role can be stressful due to managing claim processes, meeting deadlines, and handling difficult customer interactions. The job often requires strong organizational skills, attention to detail, and the ability to work under pressure in a fast-paced environment.

What are some common challenges faced by a claims team lead, and how can they be addressed?

As a Claims Team Lead, you may encounter challenges such as balancing workload distribution among team members, ensuring consistent adherence to compliance standards, and managing escalated or complex claims. Addressing these challenges often involves effective communication, regular training, and implementing clear processes for issue escalation and resolution. Building strong relationships with your team and fostering a collaborative environment can help maintain high morale and productivity, even during peak periods.
More about Claims Team Lead jobs

What cities are hiring for Claims Team Lead jobs?

Cities with the most Claims Team Lead job openings:

What states have the most Claims Team Lead jobs?

States with the most job openings for Claims Team Lead jobs include:

Infographic showing various Claims Team Lead job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $53,524 per year, or $25.7 per hour.

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

Sedgwick

Roseville, CA • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 322 frontline employees who took The Breakroom Quiz

211th of 308 rated insurance


Job description

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 | CA Claims Exp. Required

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 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 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're seeking a proven leader with California workers' compensation claims expertise who thrives in a fast-paced environment and enjoys developing high-performing teams. The ideal candidate brings strong technical knowledge of California workers' compensation claims, experience supervising claims examiners and support staff, and the ability to provide guidance on complex and high-exposure matters.

OFFICE LOCATIONS

Hybrid role with multiple California office locations available. See posting for full list of locations.

PRIMARY PURPOSE:To supervise the operation of a team of workers compensation claims examiners and technical staff for workers compensation 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 a team of workers compensation claims examiners and technical staff; 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.

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 California workers compensation claims management experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP certification required or must be obtained within one (1) year of hire date.

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 priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding

Auditory/Visual:Hearing, vision and talking

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 $100,000 - $118,000. 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.

#Claims #ClaimsTeamlead #LI-Hybrid #LI-Remote

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwickis 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.

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