Workers' Compensation Claims Team Lead (Midwest)

Berkshire Hathaway Direct Insurance Company

77d • $80,000 - $95,000

About The Position

The Workers’ Compensation Claims Team Lead will lead a lost time Workers’ Compensation claims team and may handle a reduced pending consisting of complex and / or catastrophic workers’ compensation claims. This position will oversee a team of adjusters handling claims ranging in severity from moderate to complex, often involving litigation. This is a full-time remote position from anywhere in the continental US, but may require occasional travel to attend trainings, department meetings, mediations, or hearings.

Requirements

• Previous Workers’ Compensation supervisory experience required
• Minimum 5-7 years handling WC claims
• Experience adjusting claims in any combination TX, MN, AZ, CO, IN
• Ability to work in a fast-paced, collaborative, virtual office environment
• Strong analytical, organizational, and time management skills
• Prior leadership experience a plus
• Excellent written and verbal communication skills
• Ability to work independently and meet assigned deadlines
• Strong negotiation skills
• Ability to multi-task and effectively prioritize tasks with frequent interruptions
• Proficiency with MS Word, Excel and internet applications
• Highly attentive to details
• Able to work under pressure and execute good judgment in sensitive situations
• Strong interpersonal skills
• Self-motivator: works independently with minimal to moderate supervision

Nice To Haves

• Experience adjusting in AR, SD, IL, MI, MS, MO, KY, KS, WI, OK, and NE is helpful
• AIC, SCLA, CPCU or other industry designation a plus

Responsibilities

• Evaluate, reserve, and manage a reduced pending of lost time Workers’ Compensation claims
• Provide exceptional customer service to injured workers, medical providers, and customers
• Responsible for team performance and development
• Partner with Claims Supervisor to identify training opportunities
• Assist team with escalated issues, claim strategies, coverage positions, and guide team members to the appropriate resources
• Provide coaching to claims team on claim strategy and reserving in accordance with company and regulatory requirements
• Partner with medical providers, vendors, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills
• Ensure compliance with state and federal Workers’ Compensation regulations
• Conduct bi-annual performance and development discussions with team members
• Communicate regularly with internal and external stakeholders regarding claim status
• Follow escalation and reporting requirements on claims with significant exposure
• Participate in team roundtable discussions to align on reserves and settlement values
• Recognize exposures and ensure reserves are adequate and timely
• Conduct weekly team meetings and regular individual check-in discussions with team members
• Proactively manage claim resolution, including formation and implementation of action plans
• Document claim files in accordance with company and regulatory guidelines
• Identify subrogation potential and red flags that require SIU involvement
• Maintain adjuster licenses and continuing education, as required
• Special projects as assigned

Benefits

• Great work environment with growth opportunity
• Subsidized downtown parking (for in-office positions)
• Competitive compensation
• Generous amounts of vacation and sick time
• Closed on major holidays
• 401(k) with company match
• A fantastic healthcare package
• Tuition reimbursement after 6 months of employment
• Service recognition after 5 years of employment

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 101-250 employees