CA - Team Lead, Claims - Workers Compensation

United States. Posted a month ago

The role

The Claims Team Lead leads a team of Adjusters and Specialists by monitoring workloads and providing technical direction on claims adjudication. This role involves performance management, claim audits, and resolving escalated complaints to ensure optimal claim outcomes.

What you will do

Review and approve claim denials, payments, settlements, trials, and reserve requests.
Perform claim audits for compliance and quality.
Ensure reserves are adequately set.
Provide feedback and recommendations for individual claims files.
Resolve escalated agent, broker, and policyholder complaints.
Identify trends and develop processes to correct them.
Develop and lead a team of adjusters.
Promote department goals and objectives.
Monitor workflows, processes, metrics, triage, and caseloads.
Hire and develop adjusters.

Required qualifications

2+ years of adjusting claims at a senior level.
California workers’ compensation claims experience.
Comprehensive knowledge of workers compensation in multiple states and state case Laws.
Advanced communication skills.
Advanced problem solving skills.
Intermediate awareness of tasks and team impact.
Advanced leadership skills.
G-Suite Tools, Collaboration tools, Microsoft Office suite.
High School diploma or GED

Nice to have

Additional experience in AZ, NM, NV, OR, or UT
Bachelor's Degree

Benefits

Competitive cash compensation
Comprehensive health plans
Generous PTO
Future focused 401k match
Generous parental and caregiver leave
Discretionary bonuses may be granted each year

Before you apply

Remote team members must live and work in the United States (territories excluded).
Remote team members must have access to reliable, high-speed internet.
By submitting your application, you acknowledge and consent to Pie utilizing AI technologies to assist in our evaluation process.

About the company

Pie leverages technology to transform how small businesses buy and experience commercial insurance. The team is driven by core values and operating principles to make commercial insurance affordable and easy.