Claims Team Lead, Auto

This is a fully remote position, open to applicants in Florida, +1 more state.

📋 Description

• Oversee various teams of examiners and technical personnel responsible for liability claims.

• Assess colleagues' workloads, provide training, and supervise individual claim activities.

• Offer technical and jurisdictional guidance on the adjudication of claims.

• Maintain claim diaries, including regular updates on complex or high-exposure claims.

• Detect trends, issues, and challenges, and advise management on recommended actions.

• Coordinate management initiatives and ongoing process improvement projects.

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

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

• Serve as the second-level appeal authority for client and claimant concerns.

• Evaluate reserve amounts for high-cost claims and those exceeding examiner authority.

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

• Maintain client communication, foster professional relationships, and provide claim recommendations along with written summaries.

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

• Confirm that claims files are accurately coded and thoroughly documented.

• Implement company personnel policies and staffing standards.

• Conduct interviews, hire staff, develop performance plans, and lead performance discussions.

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

• Contribute to the organization's quality programs.

• Perform additional duties as assigned.

⛳️ Requirements

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

• Licenses as mandated.

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

• Six (6) years of claims experience or an equivalent combination of education and experience is required.

• Two (2) years of experience in a claims supervisory role.

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

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

• Proficient in PC use, including Microsoft Office applications.

• Strong leadership and management capabilities.

• Excellent analytical and interpretive abilities.

• Capability to work collaboratively in a team setting.

• Proven ability to meet or exceed performance competencies.

• Proficient keyboarding skills.

• Adequate hearing, vision, and verbal communication abilities.

• Strong conceptual thinking skills.

• Excellent judgment and discretion.

• Ability to adhere to deadlines.

🏝️ Benefits

• Work-life balance.

• Opportunities for career advancement.

• Supportive and caring workplace culture.

• Equal Opportunity Employer.

• Drug-Free Workplace.

• A diverse, equitable, and inclusive work environment.