Workers Compensation Claims Team Lead

This is a fully remote position, open to applicants in California, +2 more states.

📋 Description

• Oversee the operations of various workers' compensation examination and technical staff teams.

• Assess colleagues' workloads and individual claim activities.

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

• Maintain claim diaries, including frequent updates on complex or high-exposure claims.

• Evaluate and process intricate or technically challenging general liability claims.

• Investigate and collect information to assess claim exposure.

• Manage claims through action plans to ensure timely resolutions.

• Oversee the litigation process for prompt and cost-effective outcomes.

• Coordinate vendor referrals for investigation and litigation management.

• Facilitate team meetings and assign accountability for follow-up actions.

• Compile compliance and claims-processing data for team discussions.

• Assist in interviewing adjusters and clerical staff, providing feedback to the hiring manager.

• Support the monthly assessment of adjuster workloads, identify patterns, and recommend adjustments.

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

• Conduct interviews, hire personnel, develop performance improvement plans, and engage in performance discussions.

• Offer support, guidance, leadership, and motivation to encourage peak performance.

⛳️ Requirements

• A minimum of 5 years of claims management experience or an equivalent combination of education and experience is required.

• High School Diploma or GED is mandatory.

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

• Professional certification relevant to the line of business is preferred.

• Knowledge of CA jurisdiction and licensing.

• Capability to supervise multiple teams of examiners and technical staff.

• Proficiency in monitoring workloads and individual claim activities.

• Ability to provide training and technical/jurisdictional direction.

• Strong clear and conceptual thinking skills.

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

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

• Ability to meet deadlines effectively.

• Proficient in computer keyboarding.

• Must have hearing, vision, and verbal communication skills.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and promotional growth.

• Medical, dental, and vision insurance coverage.

• 401K plan available from day one.

• 401K matching contributions.

• Paid Time Off (PTO).

• Disability and life insurance coverage.

• Employee assistance programs.

• Flexible spending or health savings accounts.

• Additional voluntary benefits available.