Claims Team Lead, Auto

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Oversee the operations of various teams comprising examiners and technical personnel for liability claims on behalf of clients.

• Monitor the workloads of team members, offer training, and track individual claim activities.

• Provide technical and jurisdictional guidance on examiner reports concerning claims adjudication.

• Maintain a diary for claims within the teams, including regular updates on complex or high-exposure claims.

• Identify and inform management about trends, challenges, and issues, while also suggesting appropriate courses of action.

• Communicate new procedures and ideas aimed at continuous process enhancement to management.

• Collaborate with management on projects relevant to the office.

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

• Serve as a second level of appeal for client and claimant inquiries related to specific claims, procedures, or special requests.

• Review reserve amounts for high-cost claims and those exceeding the individual examiner's authority.

• Monitor third-party claims and conduct periodic reviews of litigated claims, serious vocational rehabilitation claims, questionable claims, and sensitive claims as determined by the client.

• Maintain communication with clients regarding claims and foster a professional relationship; provide recommendations based on the claim status.

⛳️ Requirements

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

• A minimum of six (6) years of claims experience or an equivalent combination of education and experience, including two (2) years in a claims supervisory role, is required.

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

• Exceptional verbal and written communication skills, including presentation abilities.

• Proficient in PC operations, including Microsoft Office Suite.

• Strong leadership and management capabilities.

• Solid analytical and interpretive skills.

• Ability to work collaboratively in a team setting.

• Capability to meet or surpass Performance Competencies.

🏝️ Benefits

• Health insurance.

• Retirement plans.

• Paid time off.

• Flexible work arrangements.

• Professional development opportunities.