Combined Insurance ESIS - Work Comp Claims Team Leader in United States
KEY OBJECTIVE:* * Supervises and directs the activities of Claims Representatives in the investigation and settlement of claims to assure prompt, efficient and fair claims services.
*MAJOR DUTIES & RESPONSIBILITIES: * * Reviews initial notice of claim, determines extent and validity of coverage, and screens for qualification for flow process. Determines measures to be taken in absence of coverage or questionable cases. * Assigns work to Claims Representatives. Determines and delegates settlement authority to Claims Reps, in conjunction with Unit Manager. Retains higher settlement authority beyond scope of subordinates * Supervises investigations, and oversees settlement or disposition of claims by assuring prompt contact of insureds and claimants, timely investigation, and equitable settlement. * Evaluates work of Claims Reps on open cases, or at periodic intervals. Provides direction and counsel by identifying areas of improvement needed. * Participates in human resources processes affecting subordinates in assigned unit, conducts Performance Evaluations, implements training and development, and is cognizant of EEO/Affirmative Action Plans. Participates in salary administration process.
MINIMUM REQUIREMENTS: * High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in workers compensation. * College degree preferred. * Ability to lead change by addressing points of resistance at the team and/or individual level. The ability to independently evaluate and implement claims management Best practices. * Demonstrates an understanding of team building theory and the techniques of continuous quality improvement and how they apply to ongoing activities. * Strong leadership skills including the ability to coach, develop and lead team members towards successful attainment of goals and objectives * Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external. * Strong analytical and problem solving ability. * Demonstrated ability to provide consistent superior service to customers. * Act as a role model for the unit or office, taking on the work that others avoid and holding self and others accountable for high personal standards.
Title: ESIS - Work Comp Claims Team Leader
Requisition ID: 318394