Workers' Compensation Claim Team Leader

The Hartford•Scottsdale, AZ

1d•Hybrid

About The Position

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future. The Workers' Compensation Claims Plus Team Leader will manage and direct claim investigation, compensability determination, disposition, and settlement, in compliance with corporate claim settlement policies and procedures. They will seek to effectively manage allocated loss costs relative to budget guidelines and fully comply with statutory, regulatory and ethics requirements. This individual shall also effectively communicate and teach a thorough understanding of business vision, strategies and plans for achieving business goals. Through effective training, coaching and staff development, they will enable optimal job performance and the achievement of individual and professional goals.

Requirements

Bachelor’s Degree preferred
Minimum 3 years of Workers Compensation Claims Plus experience strongly preferred
California Workers Compensation experience preferred
Strong leadership skills in terms of teaching, guiding, coaching and developing staff
Strong communication skills, both verbal and written regardless of audience demographic
Knowledge of medical terms is strongly preferred
Possess analytical and critical thinking skills
Demonstrated track record of consistent and timely follow through for customer needs
Strong understanding of reserve accuracy relative to claim exposures both property damage and bodily injury
Extensive knowledge of customer service drivers and the ability to resolve customer issues, needs and concerns independently
Strong understanding of financial and operational reports for analysis and action planning

Responsibilities

Manage Claim professionals with corresponding claim inventories
Utilize various financial reporting tools to monitor and address reserve accuracy and trending
Manage and implement change including explaining drivers for business goals
Stay current on issues impacting personal and/or commercial business including industry and marketplace trends, strategic direction of the organization
Use critical thinking skills to gather information, apply sound reasoning, draw appropriate conclusions and make sound decisions based on a mixture of analysis, experience and judgment
Manage claim assignment process by identifying claim complexity and ensuring proper assigning to the appropriate claim handler
Oversee the completion and execution of the investigation, disposition, and settlement of claims, in compliance with corporate claim standards and procedures, and statutory, regulatory and ethics requirements
Accurately and timely assess the indemnity and expense exposure of assigned claims and manage the accurate and timely setting of reserves
Use organizational and communication skills to effectively manage the resolution of assigned claims, manage claim deadlines, and use resources appropriately
Use claim functional knowledge to appropriately interpret and apply insurance coverage
Maintain current knowledge of Claim loss cost containment initiatives, and use them appropriately and consistently with company practices and procedures to manage assigned claims
Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims
Properly apply statutory laws and regulations of applicable jurisdiction
Effectively train, coach and develop staff to enable them to perform their jobs and achieve individual and professional goals
Create and support a team environment that achieves Claims’ Diversity and Inclusion initiatives
Build a high performing team with diverse characteristics, where individual differences are valued
Embrace leadership role among claim team leaders and handlers and offer advanced expertise to help teammates
Experience in leading and managing all levels of staff relative to experience, tenure and professional development