Workers Compensation Claims Team Leader

Team Leader Claims - CH08AE

We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.

The Workers Compensation Claims Team Leader will manage and direct claim investigation, compensability determination, disposition and settlement, in compliance with corporate claim settlement policies and procedures for the California, New Mexico, and Idaho jurisdictions. They will seek to effectively manage allocated loss costs relative to budget guidelines and fully comply with statutory, regulatory and ethics requirements. This individual shall also effectively communicate and teach a thorough understanding of business vision, strategies and plans for achieving business goals. Through effective training, coaching and staff development, they will enable optimal job performance and the achievement of individual and professional goals.

• Manage Claim professionals with corresponding claim inventories
• Utilize various financial reporting tools to monitor and address reserve accuracy and trending
• Maintain, effectively communicate and teach a thorough understanding of business vision, strategies and plans for achieving business goals
• Manage and implement change including explaining drivers for business goals
• Stay current on issues impacting personal and/or commercial business including industry and marketplace trends, strategic direction of the organization, organizational structure and leadership, team goals and internal initiatives
• Use critical thinking skills to gather information, apply sound reasoning, draw appropriate conclusions and make sound decisions based on a mixture of analysis, experience and judgment
• Manage claim assignment process by identifying claim complexity and ensuring proper assigning to the appropriate claim handler
• Oversee the completion and execution of the investigation, disposition and settlement of claims, in compliance with corporate claim standards and procedures, and statutory, regulatory and ethics requirements
• Accurately and timely assess the indemnity and expense exposure of assigned claims and manage the accurate and timely setting of reserves • Use organizational and communication skills to effectively manage the resolution of assigned claims, manage claim deadlines, and use resources appropriately
• Use claim functional knowledge to appropriately interpret and apply insurance coverage
• Maintain current knowledge of Claim loss cost containment initiatives, and use them appropriately and consistently with company practices and procedures to manage assigned claims
• Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims
• Properly apply statutory laws and regulations of applicable jurisdiction
• Effectively train, coach and develop staff to enable them to perform their jobs and achieve individual and professional goals
• Effectively train, coach and develop staff for management succession purposes
• Evaluate, acknowledge and manage performance through the use of appraisal tools
• Effectively address and manage performance that does not meet required standards
• Maintain dedication to meeting expectations and requirements of internal and external customers
• Establish and maintain effective relationships with customers, gaining their trust and respect
• Negotiate skillfully in tough situations with internal and external groups • Treat all customers with respect and careful attention
• Clearly explain complex or technical information that is helpful to customers
• Create and support a team environment that achieves Claims' Diversity and Inclusion initiatives
• Build a high performing team with diverse characteristics, where individual differences are valued
• Embrace leadership role among claim team leaders and handlers and offer advanced expertise to help teammates
• Consistently act with the highest level of integrity and adhere to general principles of business ethics
• Demonstrate professionalism and establish credibility when interacting with customers
• Understand and effectively analyze coverage
• Experience in leading and managing all levels of staff relative to experience, tenure and professional development

• Bachelor's Degree preferred
• Minimum of 2 years of workers compensation claim experience preferred, but not required
• Strong leadership skills in terms of teaching, guiding, coaching and developing staff
• Strong communication skills, both verbal and written regardless of audience demographic
• Ability to partner with internal and external customers
• Knowledge of medical terms is strongly preferred
• Possess analytical and critical thinking skills
• Excellent time management abilities
• Demonstrated track record of consistent and timely follow through for customer needs
• Strong understanding of reserve accuracy relative to claim exposures both property damage and bodily injury
• Extensive knowledge of customer service drivers and the ability to resolve customer issues, needs and concerns independently
• Strong understanding of financial and operational reports for analysis and action planning