Claims Team Lead Property

Sedgwick•Telecommuter FL, FL

About The Position

The Claims Team Lead Property supervises the operation of the property claims team and technical staff. The role monitors workloads and individual claim activities, provides training and technical and jurisdictional direction to claim examiners, and maintains claim diaries, including frequent diaries for complex or high-exposure claims. The team lead supports quality and process improvement, reviews claims and management reports, handles appeals, and maintains client relationships. The position also oversees staffing, colleague development, performance discussions, and adherence to company personnel policies.

Requirements

Six years of claims experience or an equivalent combination of education and experience.
Thorough knowledge of claims management processes and procedures for multiple product lines.
Excellent oral and written communication skills, including presentation skills.
PC literacy, including Microsoft Office products.
Leadership, management, and 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.
Licenses as required.
Ability to handle work-related stress, multiple priorities, and deadlines.
Clear and conceptual thinking, excellent judgment, troubleshooting, problem-solving, analysis, and discretion.
Ability to travel as required.

Nice To Haves

Bachelor’s degree from an accredited college or university preferred.
Professional certifications applicable to the line of business preferred.

Responsibilities

Supervise the property claims team and/or at least four technical operations colleagues, delegating duties within the unit as appropriate.
Identify and advise management of trends, problems, and issues, recommend courses of action, communicate procedural ideas for continuous improvement, and coordinate office projects with management.
Provide technical and jurisdictional direction to examiner reports on claims adjudication.
Compile, review, and analyze management reports and take appropriate action.
Conduct quality reviews of claims in compliance with audit requirements, service contract requirements, and quality standards.
Act as the second level of appeal for client and claimant issues involving claim-specific, procedural, or special requests, and implement the final disposition of appeals.
Review reserve amounts on high-cost claims and claims exceeding the individual examiner’s authority.
Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and client-designated sensitive claims.
Maintain client contact and professional relationships, make recommendations based on claim status, and provide written claim summaries when requested.
Ensure direct reports are properly licensed in the jurisdictions served.
Ensure claims files are coded correctly and adequately documented by claims colleagues.
Administer company personnel policies and follow staffing standards and training recommendations.
Interview and hire colleagues, establish performance development plans, and conduct performance discussions.
Provide support, guidance, leadership, and motivation to promote colleague performance.
Perform other duties as assigned and support the organization’s quality programs.