Claims Team Lead, Auto | Bodily Injury

Claims Team Lead, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE To supervise the operation of multiple teams of examiners and technical staff for 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 OF THE ROLE MAY INCLUDE • Supervises multiple teams of examiners, multiple bodily injury and property damage 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. • Performs other duties as assigned. • Supports the organization's quality program(s). 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 Experience: 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 for multiple product lines • 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 include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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.