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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

Vacancy posted 4 days ago
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