Company Details
BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.”
Responsibilities
As a Claims Team Lead, you will be responsible for the administrative and technical supervision of a team of workers’ compensation claims professionals. We’ll look to you for staff training, development, and performance management; to monitor claim handling activities; and provide technical and jurisdictional specific direction and feedback to ensure timely and accurate investigation and adjudication of claims to produce quality outcomes.
Supervises all technical aspects of claims including coverage investigation, disability benefits management, medical management, file management, litigation management, subrogation, reserving and settlement.
Provides team with technical training and claims handling guidance and direction
Reviews reserve and settlement amounts over the Claims Representative authority level for approval
Ensures claims are clearly and adequately documented, and ensures claims data is captured and coded correctly within the claims management software system
Provides team support, leadership and motivation to promote a high level of performance
Establishes team performance goals and objectives in alignment with business plans
Directs team toward the achievement of established goals and objectives
Performs claims quality reviews in compliance with audit requirements and quality standards on a monthly and quarterly basis
Identifies and alerts senior management to claims trends or issues
Resolves escalated policyholder and claimant issues related to specific claims
Conducts regular coaching and performance feedback discussions
Establishes performance and career development plans in collaboration with team members, management & HR
Assures claims representatives are properly licensed or certified in assigned jurisdictions
Partners with HR and management on engagement strategies to improve employee engagement, job satisfaction, and create a psychologically safe work environment
Administers all company personnel policies and addresses and resolves personnel matters with the support of management and HR
Conducts interviews of prospective claims representative candidates and provides feedback to assist senior management with hiring decisions
Maintains and demonstrates knowledge of the Workers’ Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
Attends and participates in claim file reviews with senior management and defense attorneys
Coordinates and leads special projects or processes as assigned by senior management
Continuously strives to improve our product and business results through innovation
Obtain and maintain adjuster license in multiple jurisdictions
Qualifications
Minimum 3 years of experience (4 – 5 years preferred) handling workers’ compensation claims in multiple jurisdictions
Supervisory experience preferred but not required
Exceptional leadership and motivational skills
Excellent written, verbal, interpersonal and relationship building skills
Excellent time management and organization skills
Strong analytical and critical thinking skills
Ability to effectively manage and develop talent
Ability to implement policies, procedures and controls to measure and improve service and financial performance
Ability to work independently and strategically problem solve
Ability to diplomatically manage conflict
Ability to develop relationships within the organization and work effectively across departments
Strong discretion and integrity in dealing with highly confidential and sensitive information
Detail oriented
Ability to quickly learn to intuitively use internal systems
Education
Bachelors’ degree or equivalent insurance industry work experience
AIC, ARM, CCP, or CPCU insurance designation preferred
Additional Company Details
The Company is an equal employment opportunity employer We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. berkleynet.com
Additional Requirements
• Low level of domestic U.S. travel required (up to 10% of time) • Ability to travel nationally to attend legal hearings, conferences, trainings, file reviews and audits
Sponsorship Details
Sponsorship not Offered for this Role
Berkley Net Underwriters