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Pie Insurance · 2 weeks ago

Team Lead, Claims - Workers Compensation

United States

Full-time

Remote

Mid, Senior Level

$115K/yr - $140K/yr

2+ years exp

Pie Insurance is dedicated to empowering small businesses with affordable commercial insurance solutions. The Team Lead, Claims will lead a team of Adjusters and Specialists, ensuring optimal claim outcomes while managing performance and development within the team.

Financial ServicesInsuranceInsurTechSmall and Medium Businesses

Comp. & Benefits

Responsibilities

Review and approve claim denials, payments, settlements, trials, and reserve requests

Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations

Ensure reserves are adequately set for the ultimate probable outcome of the claim

Perform 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

Additional project assignments at manager's discretion

Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases

Oversee of all claim activity

Promote department goals and objectives to the team of Adjusters and Specialists

Monitor 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

Qualification

Claims adjusting experienceWorkers compensation knowledgeLeadership skillsG-Suite ToolsMicrosoft Office suiteAdvanced communication skillsProblem solving skillsCustomer service excellencePerformance managementTeam management

Required

2+ years of adjusting claims at a senior level

Claims experience working in California is required

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

High School diploma or GED required