Job Details

Job Details

Senior Care Associate Team Lead (Remote) Strong Internal 2025-1455

Charleston, SC, USA

Medical Services

Full Time

Description

Overview

Are you eager to provide leadership, support, and oversight to a team? Do you have a commitment to helping individuals with severe and persistent workers' compensation illnesses? Sedgwick Government Solutions is an innovative organization looking for a skilled professional to lead a team of Care Associates in the Central Management Unit (CMU).

The Senior CMU, NVRS Care Associate Team Lead oversees daily operations and performance of the CMU team, providing leadership and guidance to care associates and quality analysts. The Senior Care Associate Team Lead serve as a resource to other Team Leads and collaborate closely with finance, IT, and various internal and external stakeholders. Supporting the CMU Director and Director of Quality and Training, they contribute to training, orientation, mentoring, and evaluation efforts, playing a vital role in driving continuous improvement and organizational success.

Duties and Responsibilities

• Partner with NVRS leadership to shape and implement CMU unit policies, protocols, and outcomes.

• Support complex cases involving high acuity, media sensitivity, litigation, fraud, or long-term disability.

• Manage department and individual workloads and monitor assigned worklists for incoming documents and referrals, adapting assignments as needed to optimize unit performance and customer service.

• Oversee the capture and entry of injured worker referral data for case management services, ensuring expedited and accurate processing in proprietary systems.

• Ensure timely upload and verification of completed reports and invoices, working closely with finance to correct and confirm all documents for invoicing.

• Serve as a subject matter resource to CMU Care Associates and team leaders, applying policies and procedures to daily operations.

• Coach, teach, and mentor other team leaders, fostering professional growth, collaboration, and best practices across the team.

• Collaborate with Unit Management and external stakeholders to improve or correct processes, ensuring contract and reporting requirements are met.

• Provide leadership and assistance to staff in daily operations, motivating and managing team members to achieve and exceed performance standards.

• Offer direct and timely feedback to staff through scheduled coaching sessions and evaluations, supporting active engagement, skill development, and commitment to quality outcomes.

• Resolve employee conflicts using multidisciplinary strategies, problem-solving skills, and conflict management techniques; make timely, well-communicated decisions.

• Monitor employee attendance, approve time sheets, and authorize vacations and personal days in alignment with staffing needs.

• Encourage personal accountability and empower others to take ownership of their actions and outcomes and promote professional growth for self and team members.

• Participate in team program planning, implementation, and coordination to ensure compliance with department and Federal/State regulations.

• Provide training and educational services for TN case managers, SGS-MCA team members, and clients as assigned.

• Assist NVRS Management in administrative functions as requested.

• Focus efforts on achieving SMART objectives aligned with the Company's Strategic Imperatives.

• Exhibit strong people management, organizational, decision-making, and analytical skills.

Qualifications

• High School Diploma or GED required.

• Associate degree preferred.

• Minimum two years in workers' compensation, claims administration, utilization review, or related field

• Supervisory and medical terminology experience preferred

• Knowledge of FECA and related issues is advantageous.

• Customer Service experience in the medical field preferred

• Ability to utilize an Electronic Medical Record or other electronic platform

• Computer literacy, including MS Word, Excel, and Outlook

• Ability to pass a background check

• Adhere to and comply with all confidentiality requirements

• Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home office

• Must have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, and Documentation Skills and provide 24-hour follow-up to all communication

• Able to travel for training and meetings as needed.

For a career path that is both challenging and rewarding, join Sedgwick Government Solution's talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions 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 a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (). 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.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) ( . This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) ( . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick Government Solutions

Sedgwick Government Solutions is a trusted partner for federal agencies across the U.S., helping them confidently manage risk and claims. With decades of experience and deep regulatory expertise, we keep agencies compliant while improving their workforces' health and productivity. Backed by the most advanced technology, our tailored solutions help agencies navigate the complexities of federal risk and claims management. Sedgwick Government Solutions (