CA - Team Lead, Claims - Workers Compensation
Core
Lead a team of adjusters and specialists to oversee workers' compensation claims adjudication, ensuring optimal outcomes and compliance.
Role type
Senior Team Lead, Claims (Workers Compensation)
Builds
Optimal claim outcomes and experiences for small business clients
Domain
Insurance / Workers Compensation
Required skills
Workers compensation claims adjudication, team leadership, performance management, regulatory compliance, claims auditing, reserve setting, trend analysis, conflict resolution, process improvement, hiring and development
Preferred skills
Experience in AZ, NM, NV, OR, or UT, knowledge of multiple state case laws
Technologies
G-Suite, Microsoft Office
Responsibilities
Review and approve claim denials, payments, settlements, trials, and reserve requests; Perform claim audits for statutory/regulatory compliance; Resolve escalated agent, broker, and policyholder complaints; Monitor workflows, claim metrics, and caseloads; Develop and lead a team of adjusters; Identify trends and develop corrective processes
Seniority
Senior, hands-on IC with people management