Claims Team Lead - Premises & General Liability
Jobtailor
Supervise multiple teams of examiners and technical staff for liability claims Monitor colleagues' workloads and individual claim activities Provide training and technical/jurisdictional direction on claims adjudication reports Maintain diaries on claims, including complex or high-exposure claims Identify trends, problems, and issues and advise management on recommended actions Inform management of new procedures and ideas for continuous process improvement Coordinate projects for the office Compile, review, and analyze management reports and take appropriate action Support the organization's quality programs Administer company personnel policies and follow staffing standards and training recommendations Interview, hire, and establish colleague performance development plans Conduct colleague performance discussions Provide support, guidance, leadership, and motivation Perform quality reviews on claims according to audit, service contract, and quality standards Act as second level of appeal for client and claimant issues and implement final dispositions Review reserve amounts on high-cost claims and claims exceeding examiner authority Monitor third-party claims and review litigated, serious vocational rehabilitation, questionable, and sensitive claims Maintain client contact, promote professional client relationships, and make recommendations based on claim status Provide written claim resumes as requested by clients Ensure claims files are correctly coded and adequately documented Requirements High School Diploma or GED required Bachelor's degree from an accredited college or university preferred Professional certification as applicable to line of business preferred Six (6) years of claims experience or equivalent combination of education and experience required Two (2) years claims supervisor experience All 50 states & Home State or Reciprocal licensing required Assures that direct reports are properly licensed in the jurisdictions serviced Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion Ability to handle work-related stress and multiple priorities simultaneously Ability to meet deadlines Computer keyboarding; travel as required Hearing, vision and talking Core Competencies Demonstrates expertise in claims supervision, including training and performance management of examiners and technical staff. Proficient in claims adjudication, quality assurance, and process improvement within the insurance industry. Highest-signal resume keywords Claims Supervision Experience Claims Adjudication Performance Management Quality Assurance Process Improvement ATS Optimization Keywords Hard Skills Claims Experience Claims Analysis Claims Documentation Claims Coding Management Reporting Project Coordination Licensing Compliance Performance Development Plans Quality Reviews Client Relationship Management Soft Skills Clear Thinking Excellent Judgment Problem Solving Stress Management Time Management Certifications & Qualifications Professional Certification All 50 States Licensing Industry Keywords Liability Claims Claims Adjudication Reports High-Exposure Claims Continuous Process Improvement Colleague Performance Discussions Third-Party Claims Vocational Rehabilitation Audit Standards Service Contract Standards Claims Files Management Tools & Technologies Computer Keyboarding #J-18808-Ljbffr Jobtailor
- ...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Premises & General Liability | Dedicated Client & All States | Licensing: Home State Required | Hybrid - Eden Prairie, MN Are you looking...ClaimsContract workWork at officeFlexible hours
- Sedgwick, a global leader in claims management, seeks a Claims Team Lead for Premises & General Liability to supervise multiple examiner teams and oversee complex liability claims. The role requires strong leadership, meticulous review of claims, and ensuring compliance...Claims
- ...seeking a Client Litigation Manager for General Liability in Eden Prairie, MN. The role involves managing high-exposure premises, tendering and product liability cases... ...early resolutions while guiding a team through complex claims and settlements. #J-18808-Ljbffr SedgwickClaimsWork at officeRemote work
$300k
...InsuranceClient Litigation Manager - General Liability | All States + Dedicated... ...a rapidly growing, industry-leading global company known for its... ...inquiry or dispute when Premises, Tendering and Product... ...exposure clams ($300,000+) and claims of a sensitive nature (i.e....ClaimsWork at officeLocal areaRemote workWork from homeFlexible hours$210k
...energetic attorney to join our team as Assistant General Counsel based in Eden... ...litigation, pre-litigation claims, and all related matters, including... ...warranty and/or product liability is highly preferred.... ...proven ability to build trust, lead, energize, influence and drive...Claims- Sedgwick is seeking a Client Litigation Manager - General Liability to join our hybrid Eden Prairie, MN team. You will lead sophisticated claims, develop strategies for high-exposure cases, and coordinate with clients and local counsel to reach timely resolutions. The...ClaimsLocal area
- Jobtailor in Minnesota is seeking an experienced Claims Supervisor to lead multiple examiner teams in liability claims adjudication and performance management. You will mentor staff, ensure compliance with licensing, and drive process improvements while coordinating office...ClaimsWork at office
- ...Experienced Senior Claims Examinerdriasi is an ambitious... ...Examiner to join our team. The Senior Claims... ...of insurance carrier's liability and settles claims with... ...guidelines.Ability to lead, coach and train a team... ...procedures as well as general insurance knowledge. Insurance...ClaimsTemporary workWork at office
- The Vice President, General Counsel and Secretary, is the chief legal... ...to the CEO, leadership teams, and Boards of Directors. The... ...support. The General Counsel leads and ensures effective management... ...disputes, investigations, threatened claims, privileged reviews,...ClaimsContract workTemporary workCasual workWork at office
$134.6k - $230.8k
...Science Strategy Leader within the Crimson AI team, you will be at the forefront of... ...intelligence platform. In this role, you will lead the creation of industry-leading AI solutions... ..., particularly working with clinical, claims, or healthcare operational dataPreferred Qualifications...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$125k - $190k
...Manager is responsible for leading and administering the... ...management, insurance, and claims programs while supporting operational teams in managing risk across... ...recommendations to the General Counsel regarding risk... ...' compensation, general liability, OSHA, and other risk management...ClaimsFor subcontractorWork at office$93.8k - $122k
...focus on workers’ compensation claims management within a high-... ...with internal stakeholders to lead property risk engineering and... ...timely execution by facility teams, report follow-up activities,... ...standardsClaims Management (General Liability, Auto, Property)Support the management...ClaimsFull timeWork experience placementH1bWork at officeRemote workRelocationRelocation package- ...satisfactory resolutions, coordinating with clients, and overseeing litigation processes with a focus on media exposure and complex claims. The ideal candidate has extensive claims management and litigation experience, strong collaboration skills, and the ability to...ClaimsFlexible hours
- ...seeking a Sr. HealthRules, Facets, or QNXT Configuration Analyst with experience in Product/Benefits, Pricing, Provider, and Claims. The role leads HealthRules Facets or QNXT configuration design, system changes, and QA testing, gathers requirements, and develops data...ClaimsRemote job
- ...seeking a Sr. HealthRules, Facets, or QNXT Configuration Analyst to lead configuration design and QA testing for Health Plan processes.... ..., develop data and functions for benefit configuration, claims processing, and enrollment. Role offers remote work from anywhere...ClaimsRemote jobWork at office
- Optum seeks an Epic Professional Billing Claims Analyst with hands-on experience supporting Professional Billing claim operations and reimbursement... ...Claims, collaborating with revenue cycle, IT, and client teams to ensure accurate submissions. Remote work is available...ClaimsRemote jobLocal area
$72k - $100k
...The client services advocate will provide team attitude and support for employee benefit... ...Billing issues Carrier inquiries Claim issues Day to day client questions... ...Responsibilities Goal setting Demonstrate general knowledge of agency carriers, carrier/...ClaimsFull timeContract workWork at office$18 per hour
...providing leadership and knowledge to the team. Possesses the aptitude and ability to... ...Responsibilities With Regard to Workers' Compensation Claims: You are responsible for reporting all... .../Experience: High school diploma or general education degree (GED); or one to three...ClaimsHourly payPart timeLocal areaImmediate start- ...Hearing Technologies in Eden Prairie, MN, seeks a hard‑working Claims Specialist to support back‑end verification and submission of insurance... ...third‑party payers, patients, hearing providers, and internal teams. The incumbent will typically have 2-5 years of medical billing/...Claims
- ...seeking an experienced Accounting Supervisor to oversee day-to-day general ledger activities and mentor staff. You will plan workflows,... ...controls, and drive process improvements to support the finance team. The role requires 3-5 years of accounting experience with supervisory...
- Domino's in Eden Prairie is seeking a full-time General Manager who is self-motivated, friendly, and passionate about customer service. Key responsibilities include hiring and training team members, managing costs, and ensuring service quality meets Domino's standards....Full time
- ...Processing, (5) Reject Processing, and (6) General Accounting.Essential Responsibilities... ...Administrative Services, Inc. (driasi) is a leading provider of outsourcing solutions for the... ...processing, mail fulfillment, claims services, and certificate issuance. In addition...ClaimsTemporary work
- ...Claims Representative - Liability - Richfield, MNBy joining Sedgwick, you'll be part of something truly meaningful... ...PURPOSE : To process low level general liability claims to determine benefits... ...skillsAbility to work in a team environmentAbility to meet or exceed...ClaimsContract workWork at officeLocal area
$123k - $163k
...bad times. When you join our team, you are bringing this purpose... ...by targeted risk control and claims services. Our employees are passionate... ...wrongful death claims.Product liability litigation involving... ...can:Shape the future: Help us lead an insurance transformation to...ClaimsFull timeContract workWork at officeFlexible hours$80k - $90k
...Managers are passionate about connecting with Team Members and Guests. Our win-together... ...know how to have fun along the way. From leading the team through a high-energy shift to exceeding... ...Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry...ClaimsCasual workShift work$200k
...times. When you join our team, you are bringing this... ...risk control and claims services. Our employees... ...specialized claims that generally settle over $200,000 often... ...determination of coverage, liability and damages for very... ...representatives. Develops and leads technical training and...ClaimsFull timeWork at officeFlexible hours- ...Care Medical Wellness About Us General Page Holding Companies Life and... ...a global organization. The role involves leading the engineering execution in areas such as payment integrity, risk and quality, claims administration, and payer operations technology...Claims
- ...and sales-minded professional, we are eager to have you on our team. ABOUT OUR AGENCY: Our agency is proud to serve Chanhassen... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsWork at officeFlexible hours
$24 per hour
...control.Conducts periodic file reviews of team members' files.Provides payroll... ...Notifies employees verbally and in writing of claim overpayments.Responsible for manual calculations... ...document are intended to describe the general nature and level of work being performed...ClaimsHourly payWork at officeLocal areaFlexible hours$32 per hour
...job site, inspects and maintains truck, reports shortages and claims to supervisor and assists in loading and storing of materials.... ...Abilities: Minimum education requiredHigh School Diploma or general equivalency degree (GED). Minimum experience required6...ClaimsLocal area
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