Workers Compensation Claims Team Lead

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

📋 Description

• Oversee various teams of workers' compensation examiners and technical personnel

• Track colleagues' workloads and monitor individual claim activities

• Offer training and provide technical/jurisdictional guidance on claim adjudication reports

• Keep up with claim diaries, including frequent updates for complex or high-exposure claims

• Evaluate and process intricate or technically challenging claims through investigation and information gathering

• Direct claims via action plans to ensure timely and appropriate resolutions

• Manage the litigation process while ensuring cost-effective claim resolutions

• Facilitate vendor referrals for investigation and litigation management

• Lead team meetings and assign responsibility for follow-up tasks

• Collect compliance and claims-processing data for team meetings

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

• Support monthly reviews of adjuster workloads, identify trends, and recommend adjustments

• Administer personnel policies, adhering to staffing and training standards

• Conduct interviews, hire staff, establish performance development plans, and engage in performance discussions

• Offer support, guidance, leadership, and motivation to encourage optimal performance

• May supervise up to three direct reports

⛳️ Requirements

• Minimum of 5 years in claims management or an equivalent combination of education and experience is required

• A 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 desired

• Knowledge and licensing related to CA or NV jurisdiction is required

• Supervisory experience along with expertise in workers' compensation claims

• Proficient in investigating and gathering information to assess claim exposure

• Capable of managing litigation and claims resolution

• Ability to juggle multiple priorities and adhere to deadlines

• Strong clear and conceptual thinking skills

• Excellent judgment, problem-solving, analysis, and discretion

• Capability to manage work-related stress

• Proficient in computer keyboarding

• Ability to hear, see, and communicate effectively

🏝️ Benefits

• Flexible work schedule

• Referral incentive program

• Opportunities for career development and promotion

• Medical, dental, and vision coverage available from day one

• 401K plan starting from day one

• 401K matching program

• Paid Time Off (PTO)

• Disability and life insurance

• Employee assistance program

• Flexible spending or health savings accounts

• Additional voluntary benefits

• Flexible location and career path options

• Reasonable accommodations available