Team Lead, Claims - Workers Compensation

Claims Technical Oversight:

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

-Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance.

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

-Handle 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 of all claim activity and promote department goals and objectives to the team.

-Monitor workflows, claims processes, claim metrics, claim triage and caseloads.