
Workers Compensation Claims Team Lead – CA or NV license
Posted Aug 24

Posted Aug 24
This is a fully remote position, open to applicants in California, +2 more states.
• Oversee the operations of various teams of workers compensation examiners and technical personnel.
• Evaluate colleagues' workloads, deliver training, and supervise individual claim activities.
• Offer technical and jurisdictional guidance on examiner reports and claims adjudication.
• Maintain a diary for team claims, including those that are complex or high-exposure.
• Analyze and manage intricate or technically challenging general liability claims.
• Investigate and collect information to assess claim exposure.
• Direct claims through action plans to achieve timely and appropriate resolutions.
• Oversee litigation processes to ensure efficient and cost-effective claims resolutions.
• Coordinate vendor referrals for further investigation or litigation management.
• Lead team meetings and assign responsibilities for follow-up tasks.
• Compile compliance and claims-processing information for team discussions.
• Assist in interviewing adjusters and clerical staff, providing feedback to the hiring manager.
• Support monthly assessments of adjuster workloads, identify trends, and recommend adjustments.
• Implement company personnel policies and adhere to staffing and training standards.
• Conduct interviews, hire staff, establish performance development plans, and facilitate performance discussions.
• Provide support, guidance, leadership, and motivation to enhance maximum performance.
• A minimum of 5 years of claims management experience or a comparable 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 preferred.
• Knowledge and licensing in CA or NV jurisdiction are required.
• Supervisory experience and knowledge in workers compensation is necessary.
• Capability to analyze and manage complex or technically challenging claims.
• Strong clear and conceptual thinking skills.
• Exceptional judgment, troubleshooting abilities, problem-solving skills, analysis, and discretion.
• Capacity to manage work-related stress and handle multiple priorities simultaneously.
• Ability to adhere to deadlines.
• Proficiency in computer keyboarding.
• Adequate hearing, vision, and speaking abilities.
• Flexible work schedule.
• Referral incentive program.
• Opportunities for career development and advancement.
• Medical, dental, and vision coverage available from day one.
• 401K plan from day one.
• 401K matching.
• Paid Time Off (PTO).
• Disability insurance.
• Life insurance.
• Employee assistance program.
• Flexible spending or health savings account options.
• Additional voluntary benefits.
• Flexibility for remote work and autonomy in daily tasks, location, and career trajectory.
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