Claims Team Lead
6 days ago
Purpose of this position is to lead a claims team to help to achieve loss and claims expense objectives, as well as deliver excellent claims service to customers.
JOB RESPONSIBILITIES:
Supervises, coordinates and monitors activities of a claims unit in order to obtain and ensure an accurate, quality product while maintaining high production standards and performance standards.
Schedules, prioritizes, and distributes workflow of unit to ensure work is done in a timely fashion and all deadlines are met.
Audits procedures and controls to ensure compliance with company and statutory requirements. Will provide statistical data to management to ensure adherence to company policies, procedures, and state regulations.Provides technical assistance to members of staff and assist them with the disposition of claims with attorneys, insureds, and claimants.
Reviews completed adjustments for corrections and authorizes payments when required.Establishes and adjusts claims reserves.
Recognizes fraudulent claims activity that would be subject to SIU referral in accordance with company guidelines and subsequent referral to law enforcement or regulatory agencies.
Reviews and implements claims audit recommendations on a continuous basis.Reviews consumer/agency complaints.
Maintains a direct diary on serious claims and/or litigated claims and an override diary on other selected claims.
JOB QUALIFICATIONS:
College degree preferred.
3 -5 years claims experience.
3+ years supervisory experience of technical level staff.
Excellent customer service skills. Excellent leadership, communication, organizational, and interpersonal skills.
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