Claims Team Lead, Auto – Bodily Injury

This is a fully remote position, open to applicants in Arizona, +6 more states.

📋 Description

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

• Track the workloads of team members and their individual claim activities

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

• Detect trends, issues, and challenges, offering recommendations for resolution

• Coordinate management projects and initiatives aimed at continuous process enhancement

• Gather, assess, and analyze management reports

• Execute quality reviews of claims to ensure compliance with audit, service contracts, and quality standards

• Serve as the second level of appeal for client and claimant concerns, implementing final appeal decisions

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

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

• Maintain client communication, fostering professional relationships while providing claim recommendations and written summaries

• Verify that direct reports hold the necessary licenses for the serviced jurisdictions

• Ensure precise claims coding and sufficient documentation within files

• Administer personnel policies and maintain staffing standards

• Conduct interviews, hiring, and develop performance improvement plans

• Hold performance discussions with colleagues

• Offer leadership, direction, motivation, and performance assistance

• Support the organization’s quality initiatives

• Carry out additional duties as assigned

⛳️ Requirements

• A minimum of six (6) years of claims experience or a comparable combination of education and experience is required, which includes two (2) years in a claims supervisory role

• Necessary licenses as mandated

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

• Exceptional verbal and written communication abilities, including presentation skills

• Proficient in PC usage, including Microsoft Office applications

• Strong leadership, management, and motivational capabilities

• Analytical and interpretive abilities

• Outstanding organizational skills

• Excellent interpersonal abilities

• Highly developed negotiation skills

• Capability to function effectively in a team setting

• Ability to meet or surpass Performance Competencies

• Proficient in computer keyboarding

• Adequate hearing, vision, and verbal communication skills

• Ability to think clearly and conceptually

• Strong judgment and discretion

• Capacity to meet deadlines

🏝️ Benefits

• Work-life balance

• Supportive culture

• Opportunities for career advancement

• Certified as a Great Place to Work®

• Equal Opportunity Employer

• Drug-Free Workplace