Workers' Compensation Claim Team Leader

Responsibilities

• Manage Claim professionals with corresponding claim inventories
• Utilize various financial reporting tools to monitor and address reserve accuracy and trending
• Manage and implement change including explaining drivers for business goals
• Stay current on issues impacting personal and/or commercial business including industry and marketplace trends, strategic direction of the organization
• Use critical thinking skills to gather information, apply sound reasoning, draw appropriate conclusions and make sound decisions based on a mixture of analysis, experience and judgment
• Manage claim assignment process by identifying claim complexity and ensuring proper assigning to the appropriate claim handler
• Oversee the completion and execution of the investigation, disposition, and settlement of claims, in compliance with corporate claim standards and procedures, and statutory, regulatory and ethics requirements
• Accurately and timely assess the indemnity and expense exposure of assigned claims and manage the accurate and timely setting of reserves
• Use organizational and communication skills to effectively manage the resolution of assigned claims, manage claim deadlines, and use resources appropriately
• Use claim functional knowledge to appropriately interpret and apply insurance coverage
• Maintain current knowledge of Claim loss cost containment initiatives, and use them appropriately and consistently with company practices and procedures to manage assigned claims
• Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims
• Properly apply statutory laws and regulations of applicable jurisdiction
• Effectively train, coach and develop staff to enable them to perform their jobs and achieve individual and professional goals
• Embrace leadership role among claim team leaders and handlers and offer advanced expertise to help teammates
• Experience in leading and managing all levels of staff relative to experience, tenure and professional development

Qualifications

• Bachelor’s Degree preferred
• Minimum 3 years of Workers Compensation Claims experience strongly preferred
• California Workers Compensation experience preferred but not required
• Strong leadership skills in terms of teaching, guiding, coaching and developing staff
• Strong communication skills, both verbal and written regardless of audience demographic
• Knowledge of medical terms is strongly preferred
• Possess analytical and critical thinking skills
• Demonstrated track record of consistent and timely follow through for customer needs
• Strong understanding of reserve accuracy relative to claim exposures both property damage and bodily injury
• Extensive knowledge of customer service drivers and the ability to resolve customer issues, needs and concerns independently
• Strong understanding of financial and operational reports for analysis and action planning