Claims Team Lead

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.

(url removed)

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

Permanent