Job Information
Sedgwick Claims Team Leader in Ireland
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.
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Claims Team Leader
Claims Team Lead HealthCare Insurance
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Key roles
This role focuses specifically on leading the Claims function, ensuring endtoend claims process efficiency, quality, and regulatory compliance. The Claims Team Leader will work closely with the Operations Manager to review claims workflows, identify areas for improvement, and drive best practice across the team.
Specific responsibilities (including but not limited to)
To provide strong and visible leadership to their Team members through clear and engaging communication and working collaboratively with the Operations Manager to consistently achieve SLAs and Targets.
Review claims processesendtoendto uncover inefficiencies and drive targeted process enhancements.
Provide clear feedback on where claims processes can be streamlined, automated, or made more efficient.
Oversee the use of manual work trackers to consistently track workflow progress, backlogs, and claims processing activity.
Conduct regular performance conversations related toclaimsaccuracy, productivity, and SLA delivery.
Support capacity planning by assessing workload volumes, capability, and future pipeline trends.
Act as a technical escalation point forclaimsqueries, exceptions, and complex cases.
Ensure claims handling is compliant with CPC and all related regulatory requirements.
Responsible for team delivery ofa professionaland motivated customer services.
To develop the Performance of the team in collaboration with the Operations Manager and fellow Team Leaders.
Point of technical and process referral for the Team members.
Performance management including completion of monthly incentives for direct reports, working with the Operations Manager to set andmonitorappropriate teamand individual targets.
Active involvement in weekly team meetings to review and develop team performance.
To support the Operations Manager in planning resource / scheduling.
To liaise with the QA Unit tomonitorand resolve complaintsin accordance withCPC.
Work with Operations Manager to develop Management Information formonitoring ofteam performance.
Qualifications/skills
APA or CIP Qualification in Insurance in Ireland - MUST HAVE
Experience as a Claims Team Leader is essential
Strong understanding of claims workflows, decision points, and assessment processes.
Experience using manual work trackers and workflow monitoring tools
Ability toidentifyprocess inefficiencies and propose practical solutions
Experience having structured performance conversations and coaching team members
Understanding of capacity planning and workload allocation within aclaimsenvironment
Health Insurance / PMI claims experience highly desirable
General insurance and /or operational management within business process outsourcing background desirable
A degree in business or related discipline
Client or Project Management experience desirable
Experience with training and managing quality in complex multi-client environment
Excellent written and verbal communication skills
Experience managing Work Force Planning / Optimisation (desirable not essential)
Excellent motivational and organisational skills
IT literate including all MS platforms
Experience
Previousexperience as a Claims Team Leader or seniorclaimsrole
Demonstrated experience leading claims staff, coaching, and supporting technicaldecisionmaking
Experienceanalysingclaims data,identifyingpatterns, and responding to operational issues
Familiarity with claims quality standards and complaint resolution processes
Proficient in Microsoft Word / Excel / PowerPoint
Demonstrated strong people management skills
Benefits of working for Sedgwick in Ireland
Bike to Work Scheme
Tax Saver Travel Scheme
Discounted onsite Gym Membership (Dublin 4)
Discounted onsite Montessori (Dublin 4)
EAP – Employee AssistanceProgramme
Health Insurance Scheme
Life Cover
PHI – Permanent Health Insurance
Exams & Professional Membership Fees
Professional and personal development opportunities
Sedgwick Ireland is regulated by the Central Bank of Ireland (CBI). This role is subject to the Minimum Competency Code (MCC) as set out by the CBI. This code sets out the minimum professional standard for any person providing certain financial services, in particular when dealing with consumers. This role is classified as a Controlled function ( CF5 CF6 & CF7 ) and is subject to Fitness and Probity Standards, including the requirements outlined in the Individual Accountability Framework Act 2023. Successful candidates will receive training in relation to all regulatory requirements applicable to them.
Sedgwick is an Equal Opportunity Employer.
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. Sedgwick retains the discretion to add or to change the duties of the position at any time.
Sedgwick is the world’s leading risk and claims administration partner, which helps 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. For more, see sedgwick.com