Claims Team Lead, Auto

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

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

• Track the workloads and individual claim activities of colleagues

• Offer training and technical/jurisdictional guidance on claims adjudication

• Maintain logs on team claims, including those that are complex or high-exposure

• Identify trends, issues, and problems, providing management with recommended actions

• Inform management of processes and suggestions for ongoing process enhancement

• Collaborate on projects with management

• Compile, review, and analyze management reports, taking appropriate action

• Conduct quality reviews of claims for audit, service contract, and quality compliance

• Serve as a second-level appeal reviewer for client and claimant matters, implementing final resolutions

• Review reserves on high-cost claims and those requiring examiner authority

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

• Maintain client communication, foster professional relationships, make recommendations, and provide written summaries of claims

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

• Confirm that claims files are accurately coded and thoroughly documented

• Administer personnel policies and adhere to staffing and training standards

• Conduct interviews, hiring, develop performance development plans, and lead performance discussions

• Provide support, guidance, leadership, and motivation to team members

• Support the organization's quality initiatives

• Carry out other assigned duties

⛳️ Requirements

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

• Required licenses as applicable

• Six (6) years of claims experience or a comparable combination of education and experience is required

• Two (2) years of experience as a claims supervisor

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

• Strong oral and written communication skills, including presentation abilities

• Proficiency in PC usage, including Microsoft Office applications

• Leadership and management capabilities

• Analytical and interpretative skills

• Capacity to work effectively within a team environment

• Ability to meet or surpass Performance Competencies

• Proficient keyboarding skills

• Ability to hear, see, and speak

• Strong conceptual and critical thinking abilities

• Excellent judgment and discretion

• Ability to meet deadlines

🏝️ Benefits

• Work-life balance

• Supportive culture

• Opportunities for career advancement

• Equal opportunity workplace

• Drug-free workplace