WC Team Leader

Team Leader Claims - CH08AE

We are 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 Claims 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.

Responsibilities :

Manage claim professionals with corresponding claim inventories

Utilize various financial reporting tools to monitor and address reserve accuracy and trending

Maintain, effectively communicate and teach a thorough understanding of business vision, strategies and plans for achieving business goals

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, organizational structure and leadership, team goals and internal initiatives

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

Effectively train, coach and develop staff for management succession purposes

Evaluate, acknowledge and manage performance through the use of appraisal tools

Effectively address and manage performance that does not meet required standards

Maintain dedication to meeting expectations and requirements of internal and external customers

Establish and maintain effective relationships with customers, gaining their trust and respect

Negotiate skillfully in tough situations with internal and external groups

Treat all customers with respect and careful attention

Clearly explain complex or technical information that is helpful to customers

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

Consistently act with the highest level of integrity and adhere to general principles of business ethics

Demonstrate professionalism and establish credibility when interacting with customers

Understand and effectively analyze coverage

Experience in leading and managing all levels of staff relative to experience, tenure and professional development

Qualifications :

Bachelor's Degree preferred

Minimum of 2 years of workers compensation claim 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

Ability to partner with internal and external customers

Knowledge of medical terms is strongly preferred

Possess analytical and critical thinking skills

Excellent time management abilities

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

This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.