Claims Team Lead, Auto

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

📋 Description

• Oversee various teams of examiners and technical personnel managing liability claims

• Track workloads and individual claim activities of colleagues

• Provide training and technical/jurisdictional guidance on claims adjudication

• Maintain records on team claims, including those that are complex and high-risk

• Detect trends, issues, and challenges while advising management on suggested actions

• Coordinate office initiatives and ongoing process improvement projects

• Gather, assess, and analyze management reports, taking necessary action

• Conduct quality reviews on claims in accordance with audit, service contract, and quality standards

• Serve as the second-level appeal authority for client and claimant matters, executing final appeal resolutions

• Evaluate reserves on high-cost claims and those beyond examiner authority

• Supervise third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims

• Maintain client relations, foster professional client connections, and provide claim recommendations along with written summaries

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

• Verify that claims files are accurately coded and sufficiently documented

• Implement personnel policies, conduct interviews and hiring processes, develop performance enhancement plans, and engage in performance discussions

• Offer leadership, guidance, support, and motivation to enhance performance

• Champion the organization's quality initiatives

⛳️ Requirements

• A minimum of six (6) years of claims experience or a suitable combination of education and experience, including two (2) years in a supervisory role

• Necessary licenses as required

• In-depth understanding of claims management processes and procedures across multiple product lines

• Exceptional oral and written communication skills, including presentation capabilities

• Proficient in PC applications, particularly Microsoft Office products

• Strong leadership, management, and motivational abilities

• Analytical and interpretive competencies

• Excellent organizational skills

• Outstanding interpersonal skills

• Proficient negotiation skills

• Capability to thrive in a team-oriented environment

• Ability to meet or surpass Performance Competencies

• Bachelor's degree from an accredited institution is preferred

• Relevant professional certifications applicable to the line of business are preferred

🏝️ Benefits

• Work-life balance

• Opportunities for career advancement

• Supportive workplace culture

• Commitment to diversity, equity, and inclusion

• Equal opportunity employer

• Drug-free workplace