Claims Team Lead – Liability Bodily Injury

This is a fully remote position, open to applicants in Florida, +4 more states.

📋 Description

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

• Keep track of coworkers' workloads and individual claim processes.

• Offer training and technical/jurisdictional guidance on claims adjudication.

• Maintain claim diaries, including regular updates for complex or high-exposure cases.

• Recognize trends, issues, and challenges, and suggest actionable solutions.

• Update management on new procedures and ongoing process improvement initiatives.

• Collaborate with management to coordinate office projects.

• Gather, assess, and analyze management reports and take necessary actions.

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

• Serve as the second level of appeal for client and claimant matters.

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

• Maintain communication with clients and foster professional relationships.

• Ensure that direct reports hold the necessary licenses for the jurisdictions served.

• Verify that claims files are accurately coded and sufficiently documented.

• Implement personnel policies while adhering to staffing and training standards.

• Conduct interviews, hire new staff, and establish performance development plans.

• Facilitate performance discussions with colleagues.

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

• Promote the organization's quality programs.

• Perform additional duties as assigned.

⛳️ Requirements

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

• Necessary licenses as required.

• Professional certifications relevant to the line of business are preferred.

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

• At least two (2) years of experience in a claims supervisory role.

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

• Exceptional oral and written communication skills, including presentation capabilities.

• Proficiency in PC use, including Microsoft Office applications.

• Strong leadership and management capabilities.

• Excellent analytical and interpretive skills.

• Ability to thrive in a team-oriented environment.

• Capacity to meet or exceed Performance Competencies.

• Strong conceptual and clear thinking abilities.

• Sound judgment and discretion.

• Ability to adhere to deadlines.

• Proficient keyboarding skills.

• Adequate hearing, vision, and verbal communication skills.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance programs.

• Flexible spending account or health savings account options.

• Additional voluntary benefits available.

• Work-life balance.

• Supportive and caring workplace culture.

• Opportunities for professional growth.