Claims Team Lead | GL & BI | Jurisdiction: MN | Licensing: MN

Sedgwick • Eden Prairie, MN

3d • $73,231 - $102,523 • Remote

About The Position

This role supervises the operation of multiple teams of examiners and technical staff for liability claims for clients. The Claims Team Lead monitors colleagues' workloads, provides training, and oversees individual claim activities. They also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims within their teams, including frequent diaries on complex or high exposure claims. The company is a global industry leader known for its excellence and customer service, seeking driven individuals who embody their caring counts model and core values of empathy, accountability, collaboration, growth, and inclusion.

Requirements

• High School Diploma or GED required.
• 6 years of claims management experience or equivalent combination of education and experience required.
• Two (2) years claims supervisor experience.
• MN licensing / jurisdiction knowledge.

Nice To Haves

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

Responsibilities

• 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.
• 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.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• Medical, dental, vision, 401K on day one.
• Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED