Claims Team Lead | Auto | Property Damage & Bodily Injury

Sedgwick•St. David's, IA

About The Position

The Claims Team Lead supervises multiple teams of examiners and technical staff handling clients’ liability claims, including bodily injury and property damage claims. The role monitors workloads and individual claim activities, provides training and technical and jurisdictional direction, and maintains claim diaries, including frequent diaries for complex or high-exposure claims. The Team Lead also reviews claim quality and reserves, handles appeals, supports client relationships, and oversees direct reports’ licensing and performance.

Requirements

Six years of claims experience, or an equivalent combination of education and experience, including two years of claims supervisor experience.
Licenses as required.
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.

Nice To Haves

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

Responsibilities

Supervise multiple teams of examiners and technical operations colleagues, delegating duties within the unit as appropriate.
Identify and advise management of trends, problems, and issues, recommend actions, communicate process-improvement ideas, and coordinate office projects.
Provide technical and jurisdictional direction on claims adjudication.
Compile, review, and analyze management reports and take appropriate action.
Conduct claims quality reviews in accordance 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 final appeal dispositions.
Review reserves 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, promote professional client relationships, make recommendations based on claim status, and provide written claim summaries when requested.
Ensure direct reports hold required licenses in the jurisdictions serviced.
Ensure claims files are correctly coded and adequately documented by claims examiners.
Support the organization’s quality programs and perform other duties as assigned.
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 maximum performance.