Claims Team Lead – Auto

This is a fully remote position, open to applicants in Alabama, +4 more states.

📋 Description

• Oversee various teams of examiners and technical staff handling liability claims.

• Track colleagues' workloads and individual claim activities.

• Deliver training and technical/jurisdictional guidance on claims adjudication.

• Maintain claim diaries, including frequent entries for complex or high-exposure claims.

• Recognize trends, issues, and challenges, advising management on suggested actions.

• Update management on new procedures and ongoing process enhancement ideas.

• Collaborate on projects with management.

• Compile, review, and analyze management reports, taking appropriate actions as necessary.

• Conduct quality reviews of claims to ensure compliance with audit, service contract, and quality standards.

• Serve as the second level of appeal for client and claimant concerns and enact final resolutions.

• Evaluate reserve amounts on high-cost claims and those that exceed examiner authority.

• Oversee third-party claims, periodically reviewing litigated, serious vocational rehabilitation, questionable, and sensitive claims.

• Maintain client communication and foster professional relationships.

• Provide recommendations to clients based on claim status and deliver written claim summaries upon request.

• Ensure that direct reports hold the necessary licenses in serviced jurisdictions.

• Confirm claims files are accurately coded and sufficiently documented.

• Administer company personnel policies while adhering to staffing and training standards.

• Conduct interviews, hire personnel, and establish performance development plans for colleagues.

• Facilitate performance discussions, offering leadership, guidance, support, and motivation.

• Support the organization’s quality initiatives.

• Execute other duties as assigned.

⛳️ Requirements

• Bachelor's degree from an accredited college or university is preferred.

• Licenses as necessary.

• Professional certifications relevant to the line of business are preferred.

• A minimum of six (6) years of claims experience or a combination of education and experience that is equivalent is required.

• At least two (2) years of experience in a claims supervisory role.

• Comprehensive knowledge of claims management processes and procedures across multiple product lines.

• Exceptional oral and written communication skills, including proficiency in presentations.

• Competent in PC usage, particularly with Microsoft Office products.

• Strong leadership and management capabilities.

• Proficient analytical and interpretive skills.

• Ability to thrive in a team-oriented environment.

• Capability to meet or surpass Performance Competencies.

• Proficient in computer keyboarding.

• Ability to hear, see, and communicate effectively.

• Clear and conceptual thinking skills.

• Excellent judgment and discretion.

• Ability to meet deadlines.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance program.

• Flexible spending account or health savings account.

• Additional voluntary benefits.

• Support for work-life balance.

• A caring organizational culture.