Claims Team Lead – General Liability

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

📋 Description

• Oversee several 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

• Keep diaries on team claims, including those that are complex and high-exposure

• Recognize trends, issues, and problems, and recommend actions to management

• Coordinate management projects and initiatives for continuous process improvement

• Gather, review, and analyze management reports

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

• Serve as the second-level appeal authority for issues related to clients and claimants

• Assess reserve amounts on high-cost claims and those requiring examiner authority

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

• Maintain relationships with clients and provide claim recommendations along with written summaries

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

• Guarantee accurate coding and documentation of claims files

• Administer personnel policies and staffing standards

• Conduct interviews, hire personnel, and create performance development plans

• Facilitate performance discussions with colleagues and offer leadership, guidance, and motivation

• Support the organization’s quality programs

• Perform other duties as assigned

⛳️ Requirements

• High School Diploma or GED is required

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

• Professional certification relevant to the line of business is preferred

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

• At least two (2) years of experience in claims supervision

• A home state or reciprocal license is required

• New York licensing is preferred

• Knowledge of jurisdictional requirements across all states

• Capacity to supervise multiple teams and at least seven technical operations colleagues

• Ability to manage work-related stress and handle multiple priorities at the same time

• Strong clear and conceptual thinking abilities

• Excellent judgment, problem-solving, analytical skills, and discretion

• Capability to meet deadlines

• Proficient computer keyboarding, hearing, vision, and verbal communication skills

🏝️ Benefits

• Flexible work schedule

• Referral incentive program

• Opportunity to work in an agile environment

• Career development and promotional growth opportunities

• Medical, dental, and vision coverage

• 401K on day one

• 401K matching

• Paid time off (PTO)

• Disability insurance

• Life insurance

• Employee assistance program

• Flexible spending or health savings account

• Other additional voluntary benefits

• Remote work flexibility and autonomy