Workers Compensation Team Leader

The Hartford•Lake Mary, FL

1d•Hybrid

About The Position

The Claims Team Leader manages and directs claim investigation, compensability determination, disposition, and settlement in compliance with corporate claim policies and procedures and applicable statutory, regulatory, and ethics requirements. The role manages allocated loss costs against budget guidelines and communicates and teaches the business vision, strategies, and plans for achieving business goals. Through training, coaching, performance management, and staff development, the Team Leader enables employees to perform effectively and achieve individual and professional goals. This position oversees claim assignments and claim inventories, monitors reserve accuracy and trends using financial reporting tools, and supports the resolution of assigned claims. It also requires current knowledge of relevant business and industry issues, sound coverage and statutory analysis, customer-focused communication and negotiation, and support for Claims’ diversity and inclusion initiatives. The role may be hybrid or remote. Employees living near an office in Scottsdale, Naperville, Lake Mary, Hartford, or San Antonio are expected to work onsite Tuesday through Thursday; remote employees are expected to visit an office as business needs arise.

Requirements

Demonstrated leadership skills, including the ability to coach, guide, teach, and develop team members.
Strong verbal and written communication skills for a range of audiences.
Ability to partner with internal and external customers.
Analytical and critical-thinking skills.
Excellent time-management abilities.
A track record of consistent and timely follow-through on customer needs.
Strong understanding of reserve accuracy relative to claim exposures, including property damage and bodily injury.
Extensive knowledge of customer-service drivers and ability to independently resolve customer issues, needs, and concerns.
Strong understanding of financial and operational reports for analysis and action planning.

Nice To Haves

Bachelor’s degree preferred.
At least 3 years of Workers’ Compensation claim experience preferred.
Knowledge of medical terms strongly preferred.

Responsibilities

Manage claim professionals and their corresponding claim inventories.
Use financial reporting tools to monitor and address reserve accuracy and trends.
Communicate and teach the business vision, strategies, and plans for achieving business goals.
Manage and implement change, including explaining the drivers behind business goals.
Stay current on issues affecting personal and commercial business, including industry and marketplace trends, organizational strategic direction, structure and leadership, team goals, and internal initiatives.
Gather information, apply sound reasoning, draw appropriate conclusions, and make decisions using analysis, experience, and judgment.
Manage the claim assignment process by identifying claim complexity and assigning claims to appropriate handlers.
Oversee claim investigations, dispositions, and settlements in compliance with corporate claim standards and applicable statutory, regulatory, and ethics requirements.
Assess indemnity and expense exposures accurately and on time, and manage the accurate and timely setting of reserves.
Manage claim resolution and deadlines, and use resources appropriately.
Interpret and apply insurance coverage using claim functional knowledge.
Maintain knowledge of claim loss-cost containment initiatives and apply them consistently with company practices and procedures.
Identify and initiate mitigation, subrogation, and other recovery opportunities on assigned claims.
Apply applicable statutory laws and regulations.
Train, coach, and develop staff to support job performance, professional goals, and management succession.
Evaluate and manage performance using appraisal tools, and address performance that does not meet required standards.
Meet the expectations and requirements of internal and external customers; build effective relationships and earn their trust and respect.
Negotiate skillfully with internal and external groups, treat customers respectfully, and explain complex or technical information clearly.
Create and support a team environment that advances Claims’ diversity and inclusion initiatives and values individual differences.
Provide leadership and advanced expertise to claim team leaders and handlers.
Act with integrity, follow business ethics principles, and demonstrate professionalism and credibility with customers.
Understand and analyze coverage effectively.
Lead and manage staff at different experience, tenure, and professional-development levels.