Sedgwick

Operations Manager- Workers' Comp

Sedgwick$90K — $115K *
US-Anywhere
+ 3 other locationsRemote
Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-10+ years in Workers' Compensation or disability claims management.
  • Understanding of Canadian Workers’ Compensation systems and relevant legislation.
  • Bachelor's degree preferred; relevant professional certification is a plus.
  • 2-5+ years in a leadership or supervisory role in a related field.
  • Strong skills in problem-solving and stakeholder management.

Responsibilities

  • Lead daily operations of Workers Compensation Claims Team.
  • Ensure timely adjudication and resolution of claims.
  • Monitor claim lifecycle performance from start to finish.
  • Manage team workload and enforce productivity standards.
  • Oversee compliance with all Provincial Workers Compensation Boards across Canada.
  • Drive training initiatives for staff on claims handling and legislation.
  • Leverage data analytics to identify operational efficiencies.

Benefits

  • Full-time salaried position with a competitive salary.
  • Opportunity for professional development and certification.
  • Supportive work environment focused on teamwork and operational excellence.
  • Access to advanced claims management systems and performance tools.
Full Job Description
Operations Manager- Workers' Comp PRIMARY PURPOSE: To manage the technical and operational functions within assigned Workers Compensation Team. Ensuring compliance with company standards and industry best practices; and to ensure consistent delivery of quality service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Lead daily operations of Workers Compensation Claims Team • Ensure timely adjudication, case management and resolution of claims • Monitor claim lifecycle performance from intake to closure • Manage team inventory, workload distribution and productivity standards • Ensure compliance with all Provincial Workers Compensation Boards across Canada • Remain current on legislative and policy changes • Oversee claim costs • Drive cost containment programs • Analyze trends impacting employer premiums • Act as point of contact for stakeholders • Present operational performance KPIS and cost improvement strategies • Manage escalations and complex cases with stakeholders • Establish and manage service level agreements • Track KPIs • Lead, coach and mentor claims managers, adjusters and support • Build high-performing teams with strong technical expertise • Drive training on legislation, claims handling and systems • Oversee hiring, performance management and succession planning • Identify opportunities for operational efficiency (automation and workflow) • Standardize best practices • Leverage data analytics to improve outcomes QUALIFICATIONS Technical Expertise • Deep knowledge of Canadian Workers’ Compensation systems and legislation. • Understanding of disability management and return-to-work practices. • Financial acumen (reserving, cost analysis, experience rating models). Leadership & Management • Strong people leadership and development skills • Ability to lead through change and transformation Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience • 5–10+ years in Workers’ Compensation or disability claims management • Experience in Canadian WC systems (e.g., WSIB, WCBs, WorkSafeBC) • 2–5+ years in leadership or supervisory role Skills & Knowledge Technical Skills • Strong knowledge of: • Provincial WC legislation • Claims adjudication and appeals processes • Return-to-work programs • Experience with claims management systems and reporting tools • Data analysis and performance reporting skills Soft Skills • Strong leadership and people management capabilities • Excellent communication and stakeholder management skills • Problem-solving and decision-making under pressure • Attention to detail and risk awareness • Change management and adaptability Job type:  We are currently hiring for this position. Compensation Information: Salary Range: $90,000 - $115,000 CAD annually This position is full time and compensation is salaried. Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices. 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.  Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.

About Sedgwick

Sedgwick is a global provider of insurance, risk management, and related services. The company was founded in 1969 and is headquartered in Boston, Massachusetts. Sedgwick offers a range of services to clients in various industries, including property and casualty insurance, workers' compensation, and disability management. The company has a team of experienced professionals who work closely with clients to develop customized solutions that meet their specific needs. Sedgwick has a reputation for delivering high-quality service and has been recognized for its excellence in the insurance industry.
Learn more about Sedgwick
Size
10,000 employees
Industry
Founded
1969

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