CA - Team Lead, Claims Workers' Compensation

Team Lead, Claims

The Team Lead, Claims is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports.

Claims Technical Oversight

• Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations.
• Audit reserves to ensure adequacy for the ultimate probable outcome of the claim.
• Provide regular leader reviews and provide feedback and recommendations for individual claims files.
• Resolve escalated agent, broker, policyholder complaints and/or concerns.
• Identify trends that could be problematic and take steps to develop processes to correct.

Operational Management

• Resolve escalated agent, broker, policyholder complaints and/or concerns.
• Identify trends that could be problematic and take steps to develop processes to correct.
• Additional project assignments at manager's discretion.

People Management

• Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims.
• Oversee all claim activity.
• Promote department goals and objectives to the team of Adjusters.
• Maintain workflows, claims processes, claim metrics, claim triage and caseloads.
• Build and promote customer service excellence.
• Hire and develop adjusters by identifying opportunities to grow and strengthen new skills.

The Right Stuff

• 2+ years of adjusting claims at a senior level.
• Experience in California is required. Experience in Arizona, Florida, Illinois, Pennsylvania, New Jersey or Georgia is preferred.
• Licensing may be required in additional jurisdictions based on business needs.
• Comprehensive knowledge of workers compensation in multiple states along with general insurance policy coverage and the state case laws.
• Advanced communication (written, verbal and presentation) skills, to deliver complex information effectively and align people with the needs of the project/team.
• Advanced problem solving skills, to be able to manage complex situations with multiple layers, and resolve to solution anticipating needs now and into the future.
• Intermediate awareness of your own tasks, and how it impacts the team and deliverables.
• Advanced leadership skills, focusing on the growth and development of direct reports.
• G-Suite Tools, Collaboration tools, Microsoft Office suite.

Qualifications

• High School diploma or GED required, Bachelor's Degree preferred.

Benefits

• Competitive cash compensation.
• Comprehensive health plans.
• Generous PTO.
• Futuristic 401k match.
• Generous parental and caregiver leave.

Pay

Base Compensation Range: $110,000—$135,000 USD

Schedule

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Location Information

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Additional Information

• Pie Insurance is an equal opportunity employer.
• We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.
• Pie Insurance participates in the E-Verify program.

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Safety First

Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.

Company Recognition

Pie Insurance is named to 2025 America's Best Startup Employers. Pie Insurance is included in the 2025 State of Workplace Safety Report.