Claims Team Lead

2 weeks ago

Overland Park, United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.


Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

Claims Team Lead - Auto (Physical Damage)

PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.

Provides technical/jurisdictional direction to examiner reports on claims adjudication.

Compiles reviews and analyzes management reports and takes appropriate action.

Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.

Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.

Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.

Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.

Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.

Assures that direct reports are properly licensed in the jurisdictions serviced.

Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

SUPERVISORY RESPONSIBILITIES


Administers company personnel policies in all areas and follows company staffing standards and training recommendations.

Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS


Education & Licensing


Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.


Experience


Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.



Skills & Knowledge


Thorough knowledge of claims management processes and procedures for multiple product lines

Excellent oral and written communication, including presentation skills

PC literate, including Microsoft Office products

Leadership/management/motivational skills

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT


When applicable and appropriate, consideration will be given to reasonable accommodations.


Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines


Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking


NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.



The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

  • Auto Claims Adjuster

    2 weeks ago

    Overland Park, United States The Jacobson Group Full time

    Job DescriptionJob DescriptionWeekly Pay (Every Friday)No weekends M-F 8-4:30P Join an insurance industry leader!Our client is seeking an experienced Auto, General & Liability (AGL) Claims Adjuster for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and...

  • Claims Supervisor

    2 weeks ago

    Overland Park, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionJob DescriptionThe Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance,...

  • Claims Consultant

    6 days ago

    Overland Park, Kansas, United States Marsh McLennan Agency Full time

    Our not-so-secret sauce.Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 10,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Claims...

  • Claims Adjuster

    16 hours ago

    Overland Park, United States ASB Resources Full time

    #Jobs Summary: We are seeking an experienced Auto, General & Liability (AGL) Claims Adjuster for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team. Under the direction of the Claims Team Leader investigates and settles claims...

  • Medical Only Claims Specialist

    2 weeks ago

    Overland Park, United States CorVel Corporation Full time

    The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and...

  • Medical Only Claims Specialist

    2 weeks ago

    Overland Park, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionJob DescriptionThe Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. This is a remote position.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claims, confirms policy...

  • Claims Examiner

    2 weeks ago

    Overland Park, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...

  • Claims Representative-Overland Park, KS

    2 weeks ago

    Overland Park, United States Georgia IT Inc Full time

    Claims Representative Location: Overland Park, KS.Work schedule-Hybrid- in office 3 days/WFH 2 Work Hours-8:00 am-5:00 pm.Interview- One 45 minute interview Duration: 6 months CTH Job description Summary: Client is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will...

  • Virtus Risk Solutions

    4 days ago

    Overland Park, United States Virtus LLC Full time

    A winner of Best Places to Work in Insurance seven years in a row, Virtus is looking for innovative individuals to join our fast-paced, rapidly growing team headquartered in Overland Park, Kansas. Virtus is a next generation insurance consulting firm that focuses on middle market clients in a variety of lines of coverage. With locations in Kansas City,...

  • Claims Adjuster, Senior

    6 days ago

    Overland Park, United States Blue Cross and Blue Shield of Kansas City Full time

    Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include: Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer...

  • Team Lead

    1 month ago

    Overland Park, United States Rack Room Shoes Full time

    Job Description Summary The Team Lead assists in supervising and managing all day-to-day store operations while ensuring that 100% compliance exists with all established Company policies and procedures. Provides leadership, guidance and training to the store staff via direction from the Store Manager and the Assistant Store Manager. In the absence of the...

  • Team Lead>

    3 days ago

    Overland Park, United States Rack Room Shoes Full time

    Rack Room Shoes - Bluhawk Shopping Center [Store Manager] As a Team Lead at Rack Room Shoes, you'll: Assist in supervising and managing all day-to-day store operations while ensuring that 100% compliance exists with all established Company policies and procedures; Provide leadership, guidance and training to the store staff via direction from the Store...

  • Team Lead

    4 hours ago

    Overland Park, United States GO CAR WASH Full time

    Job DescriptionJob DescriptionAs a Team Lead at GO Car Wash, you’ll help site managers with the daily operations of our car wash, while also contributing to the overall success of the site. You’ll help ensure we’re meetings all our inventory, equipment, site, service, and safety standards to deliver a consistent, convenient and exceptional car wash...

  • Team Lead

    2 weeks ago

    Overland Park, United States GO Car Wash Management Corp Full time

    Job DescriptionJob DescriptionTEXT "GOCARWASH" to 25000 to signup for an interview!GO Car Wash is one of the fastest growing car wash operators in the United States, with locations in multiple states from coast to coast. And we keep adding more!At GO Car Wash, we’re committed to providing an engaging, rewarding work experience for all our Teammates. We...

  • Team Lead

    2 weeks ago

    Overland Park, United States GO Car Wash Management Corp Full time

    Job DescriptionJob DescriptionTEXT "GOCARWASH" to 25000 to signup for an interview!GO Car Wash is one of the fastest growing car wash operators in the United States, with locations in multiple states from coast to coast. And we keep adding more!At GO Car Wash, we’re committed to providing an engaging, rewarding work experience for all our Teammates. We...

  • Senior Workers' Compensation-Claims Adjuster

    5 days ago

    Overland Park, United States Blue Cross and Blue Shield of Kansas City Full time

    Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include: Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer...

  • Team Lead Finance

    3 weeks ago

    Overland Park, United States Connect Staffing and Consulting Full time

    Team Lead - Finance We are the largest provider of Medicaid and self-paid dental, eye care, and auditory services, serving over 3,500 skilled nursing facilities across the nation. Our innovative collaboration with Medicaid and self-pay approaches aims to provide essential healthcare services to our senior population. We are committed to improving the lives...

  • Team Lead

    1 month ago

    Overland Park, United States Connect Staffing and Consulting Full time

    Job DescriptionJob DescriptionTeam Lead - Finance We are the largest provider of Medicaid and self-paid dental, eye care, and auditory services, serving over 3,500 skilled nursing facilities across the nation. Our innovative collaboration with Medicaid and self-pay approaches aims to provide essential healthcare services to our senior population. We are...

  • Water Facilities Team Lead

    6 days ago

    Overland Park, United States Garver Full time

    Careers Water Facilities Team Lead Overland Park, Kansas Garver is seeking a Water Facilities Team Leader in Overland Park, KS to build and maintain a portfolio of profitable water / wastewater projects. The projects consist of the study, planning, design, and implementation of treatment facilities for Water and Wastewater. This senior leadership position...

  • Water Infrastructure Team Lead

    7 days ago

    Overland Park, United States Garver Full time

    Garver is seeking a Water Infrastructure Team Leader in Overland Park, KS to build and maintain a portfolio of profitable water / wastewater projects in support of Garver’s Overland Park Water Services Team. The projects consist of the study, planning, design, and implementation of linear assets for Water and Wastewater including distribution, collection,...