Sedgwick Claims Management Services
Claims management and risk solutions provider
Claims Team Lead - Workers Compensation
More locations: Long Beach, CA, USA | Rancho Cordova, CA, USA | Orange, CA, USA | Pasadena, CA, USA | Brea, CA, USA | West Hills, Los Angeles, CA, USA | Riverside, CA, USA | Roseville, CA, USA | San Diego, CA, USA | Ontario, CA, USA
Hybrid role with multiple California office locations available.
About the job
- Six years of California workers compensation claims management experience, or an equivalent combination of education and experience, including two years of claims supervisor experience.
- California jurisdictional knowledge is required.
- A SIP certification is required or must be obtained within one year of the hire date.
- Required licenses must be held as applicable to the jurisdictions serviced.
- The role requires clear and conceptual thinking, judgment, troubleshooting, problem solving, analysis, discretion, handling work-related stress, managing multiple priorities, and meeting deadlines.
- The role requires computer keyboarding, hearing, vision, and talking.
- Supervise a team of workers compensation claims examiners and technical staff, delegating duties within the unit as appropriate.
- Identify and advise management of trends, problems, and issues, recommend courses of action, inform management of new procedures and continuous process improvement ideas, and coordinate office projects with management.
- Provide technical and jurisdictional direction to examiner reports on claims adjudication.
- Compile, review, and analyze management reports and take appropriate action.
- Perform quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards.
- Act as the second level of appeal for client and claimant issues involving claim-specific, procedural, or special requests, and implement final appeal dispositions.
- Review reserve amounts on high-cost claims and claims exceeding an individual examiner's authority.
- Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and sensitive claims as determined by the client.
- Maintain client contact regarding claims, promote professional client relationships, make recommendations based on claim status, and provide written claim resumes when requested.
- Ensure that direct reports are properly licensed in the jurisdictions serviced.
- Ensure claims files are correctly coded and adequately documented by claims examiners.
- Administer company personnel policies, staffing standards, and training recommendations.
- Interview and hire colleagues, establish performance development plans, and conduct performance discussions.
- Provide support, guidance, leadership, and motivation to promote maximum performance.
- A bachelor's degree from an accredited college or university is preferred.
- Professional certifications applicable to the line of business are preferred.
About the company
Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.
Company Size
10,001+
Company Stage
Growth Equity (Non-Venture Capital)
Total Funding
$1.5B
Headquarters
Memphis, Tennessee
Founded
1969
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Simplify's Take
What believers are saying
- September 24, 2026 Carrier and Captive Solutions targets captives, MGAs, and carriers.
- Sedgwick says integrated claims clients realize 5% lower claim costs and 12% higher closures.
- Omni automates reserving, triage, fraud detection, and summarization across daily workflows.
What critics are saying
- Bailey v. Sedgwick seeks ERISA settlement approval October 9, 2026.
- Rajabi v. Sedgwick exposed bad-faith allegations through 2026 Tenth Circuit litigation.
- Omni commoditizes claims handling, enabling carriers and MGAs to internalize operations by 2027.
What makes Sedgwick Claims Management Services unique
- Sedgwick runs Omni, a proprietary AI claims ecosystem launched May 4, 2026.
- Sedgwick claims data is five times larger than its nearest competitor.
- September 2026 Carrier and Captive Solutions unifies 1,000 professionals across 80 countries.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Health Savings Account/Flexible Spending Account
Unlimited Paid Time Off
401(k) Company Match
Hybrid Work Options
Growth & Insights and Company News
6 month growth
↑ 15%1 year growth
↑ 15%2 year growth
↑ 15%Sedgwick launches Carrier and Captive Solutions. September 24, 2026 New solutions are designed to manage claims complexity, improve performance, and support long-term growth MEMPHIS, Tenn. - Risk is shifting faster than traditional insurance can keep pace. Carriers remain the backbone of the industry, and as more buyers turn to captives, MGAs, and MGUs for greater control over costs and outcomes, Sedgwick is expanding to meet them there, too. Today, Sedgwick, the world's leading risk and claims administration partner, announced the launch of its new Carrier and Captive Solutions entity. This new service is a purpose-built, scalable operating model for carriers and alternative risk takers, with delegated authority and program administrators. The U.S. MGA market reached $128 billion in premium in 2025, up 12% from 2024, and the global captive market is projected to grow from $82 billion in 2025 to $120 billion by 2035, representing a steady climb even as commercial pricing softens. This shift in risk management has required an adjustment in how these programs operate, as more parties, transactions and compliance requirements are tied to every premium dollar. Sedgwick's Carrier and Captive Solutions offering is led by Jason Rogers, Managing Director, Carrier and Captive Solutions, and is supported by more than 1,000 dedicated professionals, including adjusters, client service teams, data and analytics resources, and a purpose-built client-first operational infrastructure. Compared to select third-party administrators (TPAs), Sedgwick achieves 5% lower cost per claim, 12% higher closure rates, and 46% fewer high-severity claims across workers' compensation, auto liability, and general liability programs when clients fully leverage Sedgwick's integrated claims, technology, analytics, and risk management capabilities. "The industry has shifted. Capacity is increasingly viewed as a commodity, while operational execution has become the true differentiator," said Rogers. "The organizations that win will be those that can manage risk more effectively, leverage data more strategically and deliver a better experience for their stakeholders." "Sedgwick offers a broad range of solutions designed to help carriers, captives and MGAs/MGUs manage claims complexity, improve performance, control costs, and support long-term growth," said Emily Fink, President, Growth Markets, who oversees the new practice. "With the industry's largest team of dedicated professionals, a claims dataset five times larger than that of the nearest competitor, and trusted strategic partnerships with more than 130 carriers, we can provide a level of depth this market hasn't had before." Sedgwick's solutions include: * Carrier Programs: Claims administration, delegated-authority governance, portfolio reporting and specialized support designed around carrier requirements * Outsourcing: Flexible, scalable claims operations that help carriers manage variable volumes, control costs and expand capacity without adding fixed infrastructure * Program Business for MGAs and MGUs: End-to-end claims solutions that protect underwriting intent, support smooth onboarding and deliver carrier-ready transparency * Captive and RRG Claims Administration: Captive-specific claims, member instructions, board reporting, performance analytics and old-year or tail closure * Legacy Claim Solutions: Migration, project management, technology and governance to manage liabilities, improve visibility and unlock capital * Accident and Health Benefits: Global medical networks, local expertise and advanced data capabilities that streamline claims administration, enable straight-through processing and control costs Sedgwick's Carrier and Captive Solutions combines workers' compensation expertise across all 50 states and is part of an organization handling 1.2 million liability claims annually. About Sedgwick Sedgwick is the world's leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides an unmatched perspective, caring that counts and solutions for the rapidly changing and complex risk landscape. Sedgwick's majority shareholder is The Carlyle Group; Stone Point Capital LLC, Altas Partners, CDPQ, Onex and other management investors are minority shareholders. For more, see Sedgwick.
Sedgwick, a leading risk and claims administration firm, has appointed Courtney Welton as global chief legal officer, general counsel and corporate secretary. Welton will join the executive leadership team and oversee legal strategy, governance, regulatory compliance and risk management. She brings experience from senior legal roles at Allstate Insurance Company, where she most recently served as senior vice president, general counsel and chief ethics, privacy and compliance officer. Prior to Allstate, Welton held leadership positions at Motorola Mobility, Google and Lenovo after starting her career at Skadden. Sedgwick operates across 80 countries with over 33,000 employees and 10,000 clients. The Carlyle Group is the majority shareholder.
Sedgwick appoints Courtney Welton as Global Chief Legal Officer. September 22, 2026 MEMPHIS, Tenn. - Sedgwick, the world's leading risk and claims administration partner, has appointed Courtney Welton as Global Chief Legal Officer, General Counsel and Corporate Secretary. In this role, Welton will serve as a member of the executive leadership team and help guide the company's legal strategy, governance, regulatory compliance, and risk management efforts. She will also partner across the business to support growth, enhance Sedgwick's legal and compliance capabilities, advance responsible AI governance, and maximize the company's ability to operate with the highest standards for clients, colleagues, and partners. "Courtney's combination of collaborative leadership and practical business judgment impressed us immediately," said Michelle Hay, Chief People and Administrative Officer, Sedgwick. "She has built and led high-performing teams throughout her career, enabling innovation while strengthening risk management. We are confident she will be a key asset for Sedgwick as we navigate change and enter our next chapter." Welton brings experience leading global legal, compliance, and governance functions for complex organizations. She has partnered with CEOs and boards to navigate dynamic regulatory environments, cross-border and geopolitical risk, digital transformation, and enterprise change. She most recently served as Senior Vice President, General Counsel and Chief Ethics, Privacy and Compliance Officer at Allstate Insurance Company. Prior to that, she held senior legal leadership positions at global technology companies, including Motorola Mobility, Google, and Lenovo, after beginning her legal career at Skadden. "This role brings together much of what has shaped my career: business partnership, governance and innovation at scale, technology operating pace, customer focus, and leading through change," said Welton. "As a global leader, Sedgwick has built a reputation for excellence by delivering exceptional service to clients, partners, and colleagues around the world. I look forward to collaborating with this talented team and helping advance the company's continued growth and success." Welton serves on the boards of Chicago Appleseed Center for Fair Courts and Legal Prep Charter Academy, is an adjunct professor of law at Northwestern Pritzker School of Law, where she earned her J.D., and speaks regularly on AI governance and the evolving role of legal functions. She also holds a Bachelor of Arts from Hope College. About Sedgwick Sedgwick is the world's leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts and solutions for the rapidly changing and complex risk landscape. Sedgwick's majority shareholder is The Carlyle Group; Stone Point Capital LLC, Altas Partners, CDPQ, Onex and other management investors are minority shareholders. For more, Sedgwick.com.
Sedgwick appoints Tracey Hudson as International Chief Financial Officer. September 4, 2026 Following Hudson's promotion, Sabrina McLaughlin joins Sedgwick as UK & Ireland Chief Financial Officer LONDON - Sedgwick, the world's leading risk and claims administration partner, announced the appointment of Tracey Hudson as International Chief Financial Officer. Sabrina McLaughlin will join Sedgwick as UK & Ireland Chief Financial Officer, succeeding Hudson in the role. Hudson joined Sedgwick in 2023 as UK Chief Financial Officer before expanding her responsibilities to include Ireland. In her new role, she will oversee the company's finance organization across its international business, partnering with leaders to strengthen performance and advance Sedgwick's strategic priorities. She brings more than 25 years of senior finance and board-level leadership experience across telecommunications, professional services and insurance. Prior to joining Sedgwick, Hudson led large-scale transformation initiatives and global finance operations in senior finance leadership positions. "Tracey has made a significant impact since joining Sedgwick, combining strategic financial leadership with a collaborative, commercial mindset," said Kalani Reelitz, Global Chief Financial Officer, Sedgwick. "She has built strong partnerships across its organization while leading meaningful organizational initiatives and strengthening its finance function. "Finance delivers its greatest impact when it serves as a strategic catalyst for growth, innovation, and confident decision-making," said Hudson. "I am excited to collaborate with colleagues across our international operations, helping to shape strategy, drive performance, and build on the strong foundations already in place to create long-term value for our clients, colleagues, and business." McLaughlin brings more than 15 years of experience in financial leadership, corporate strategy, and M&A across global organizations. She is recognized as a trusted advisor to boards and executive teams, has led capital allocation, enterprise transformation and growth initiatives in complex international environments, with deep expertise in governance, risk management and organizational scaling. "Joining Sedgwick is an opportunity to work with a talented team and build on the strong momentum already established across the UK and Ireland," said McLaughlin. "I'm looking forward to partnering across the business to support clients, strengthen performance and advance our shared goals." As UK & Ireland Chief Financial Officer, McLaughlin will oversee the region's finance organization, working closely with Hudson and the international finance leadership team to support business performance and Sedgwick's long-term strategic priorities. About Sedgwick Sedgwick is the world's leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. Sedgwick's majority shareholder is The Carlyle Group; Stone Point Capital LLC, Altas Partners, CDPQ, Onex and other management investors are minority shareholders. For more, see Sedgwick.
Sedgwick, a global risk and claims administration company, has appointed Jason Rogers as Managing Director for Carrier & Captive Solutions. In this newly created role, Rogers will oversee the company's work with captives, insurance carriers, and managing general agents and underwriters whilst driving growth initiatives. Rogers brings over 20 years of insurance industry experience in underwriting, brokerage and program administration. He previously held senior leadership positions with full profit and loss responsibility for more than a decade. He will report to Emily Fink, Global Chief Marketing Officer and President of Growth Markets. Rogers holds graduate and undergraduate degrees from Columbia University and Villanova University respectively. Sedgwick employs over 33,000 people and serves 10,000 clients across 80 countries. The Carlyle Group is the majority shareholder.