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Claims Team Leader
2 months ago
Key Responsibilities
- Oversee and manage the daily operations of claims personnel:
- Directs team members and provides guidance on case management. Allocates and reviews assignments.
- Conducts thorough investigations and maintains oversight of claims:
- Evaluates and determines coverage and liability.
- Collects and assesses necessary documentation (such as reports, policies, appraisals, releases, statements, and other relevant materials) during the claims investigation process.
- Strives for effective resolution of claims files, participating in arbitrations, mediations, depositions, or trials as required.
- May authorize settlements/reserves within established limits and provides recommendations to management for cases that exceed personal authority.
- Ensures timely and accurate issuance of claims payments.
- Guarantees that claims processing adheres to relevant statutes, regulations, and legal standards, while following all applicable company protocols.
- Guides reporting staff on claims files and extends settlement authority as needed after reviewing documentation.
- May establish reserves and prepare recommendations or reports for Corporate Claims or senior leadership.
- Accountable for the performance and development of team members, actively participating in talent selection, training, and performance evaluations. Provides onboarding for new team members.
- Performs additional responsibilities as assigned.
Qualifications
Education: Bachelor's Degree or equivalent professional experience.
Field of Study: Liberal Arts, Business, or a related field.
Experience: Typically requires 3 to 5 years of relevant experience, with 0 to 2 years in a leadership capacity.
