Team Lead Jobs

About The Position

Requirements

• High school diploma or GED.
• Six years of claims experience, or an equivalent combination of education and experience.
• Two years of claims supervisor experience.
• Required Nevada licensing and jurisdiction knowledge.
• Ability to think clearly and conceptually and demonstrate sound judgment, troubleshooting, problem-solving, analytical, and discretionary skills.
• Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
• Ability to perform computer keyboarding; travel as required.

Nice To Haves

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

Responsibilities

• Supervise multiple teams of examiners, multiple product-line examiners, and/or at least seven technical operations colleagues; delegate duties when appropriate.
• Identify and advise management of trends, problems, and issues, recommend courses of action, 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 claim quality reviews in compliance with audit requirements, service contracts, and quality standards.
• Serve 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 individual examiner 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, recommend actions based on claim status, and provide written claim summaries when requested.
• Ensure direct reports are properly licensed in the jurisdictions served.
• Ensure claim files are correctly coded and adequately documented by examiners.
• 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.
• Perform other duties as assigned and support the organization's quality programs.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision benefits.
• 401(k) benefits available on day one.