Claims Team Lead | Auto Liability Bodily Injury

By joining Sedgwick you'll be part of something truly meaningful. It’s what our 33000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us experience our caring culture and enjoy work-life balance. Here there’s no limit to what you can achieve.

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Claims Team Lead | Auto Liability Bodily Injury | Remote

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

• Enjoy flexibility and autonomy in your daily work your location and your career path. This is a remote work-at-home telecommuter role*.

• Be a part of a rapidly growing industry-leading global company known for its excellence and customer service.

• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

ARE YOU AN IDEAL CANDIDATE?

Do you bring 6+ years of experience in auto bodily injury liability claims (PIP/NF and MP) including at least 2 years supervising examiners or technical staff? If so this is your opportunity to lead a high-performing team in a role that values expertise leadership and collaboration. If this sounds like you we want to talk to you! Property & Casualty licensing is a plus!

PRIMARY PURPOSE OF THE ROLE

To supervise the operation of multiple teams of examiners and technical staff for auto liability claims for clients; to monitor colleagues' workloads provide training and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

• Supervises multiple teams of examiners multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

• Identifies and advises management of trends problems and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.

• Provides technical/jurisdictional direction to examiner reports on claims adjudication.

• Compiles reviews and analyzes management reports and takes appropriate action.

• Performs quality review on claims in compliance with audit requirements service contract requirements and quality standards.

• Acts as second level of appeal for client and claimant issues regarding claim specific procedural or special requests; implements final disposition of the appeal.

• Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.

• Monitors third party claims; maintains periodical review of litigated claims serious vocational rehabilitation claims questionable claims and sensitive claims as determined by client.

• Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.

• Assures that direct reports are properly licensed in the jurisdictions serviced.

• Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.

• Interviews hires and establishes colleague performance development plans; conducts colleague performance discussions.

• Provides support guidance leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

• Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Skills & Knowledge

• Thorough knowledge of claims management processes and procedures

• Excellent oral and written communication including presentation skills

• PC literate including Microsoft Office products

• Leadership/management/motivational skills

• Analytical and interpretive skills

• Strong organizational skills

• Excellent interpersonal skills

• Excellent negotiation skills

• Ability to work in a team environment

• Ability to meet or exceed Performance Competencies

Work environment requirements: When applicable and appropriate consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment troubleshooting problem solving analysis and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding travel as required

Auditory/Visual: Hearing vision and talking

As required by law Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set level of experience and cost of specific location. For the jurisdiction noted in this job posting only the range of starting pay for this role is $68060 - $75448 USD annual salary. A comprehensive benefits package is offered including but not limited to medical dental vision 401k and matching PTO disability and life insurance employee assistance flexible spending or health savings account and other additional voluntary benefits. Always accepting applications.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions duties or local variances. Management retains the discretion to add or to change the duties of the position at any time.

#supervisor #teamlead #LI-REMOTE #LI-HYBRID #REMOTE

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description consider applying for it anyway! Sedgwick is building a diverse equitable and inclusive workplace and recognizes that each person possesses a unique combination of skills knowledge and experience. You may be just the right candidate for this or other roles.