Workers Compensation Claims Team Lead

This is a fully remote position, open to applicants in Alabama, +1 more state.

📋 Description

• Oversee several teams of workers' compensation examiners and technical operations staff.

• Track workloads and individual claims activities.

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

• Detect trends, issues, and challenges, and suggest appropriate actions.

• Organize management projects and continuous improvement initiatives.

• Gather, review, and analyze management reports.

• Conduct quality reviews of claims in line with audit, service contract, and quality standards.

• Serve as the second-level appeal authority for client and claimant concerns and implement final decisions.

• Assess reserves on high-cost and high-authority claims.

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

• Maintain client relationships, foster professional interactions, and offer claim recommendations and written summaries.

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

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

• Implement personnel policies and staffing standards.

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

• Offer support, guidance, leadership, and motivation to optimize performance.

⛳️ Requirements

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

• Required licenses as applicable.

• Professional certifications relevant to the line of business are 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.

• Knowledge of jurisdiction: AL, AR, FL, GA, IA, KY, MS.

• Licensing as required.

• Capability to provide technical/jurisdictional guidance on claims adjudication.

• Ability to supervise multiple teams of examiners and technical personnel.

• Strong clear and conceptual thinking skills.

• Excellent judgment, troubleshooting, problem-solving, analytical abilities, and discretion.

• Capacity to manage work-related stress and handle multiple priorities simultaneously.

• Ability to meet deadlines.

• Proficiency in computer keyboarding.

• Adequate hearing, vision, and verbal communication skills.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and advancement.

• Medical, dental, and vision benefits.

• 401K available from day one.

• Work-life balance.

• Professional development opportunities.

• Flexibility and autonomy in daily work, location, and career trajectory.