CA - Team Lead, Claims Workers' Compensation
Pie InsuranceAbout the role
<div class="content-intro"><div>Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.</div> <div> <div> </div> <div>Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by <a class="postings-link" href="https://pieinsurance.com/culture">core values and operating principles</a> that guide every decision we make.</div> </div></div><p>The Team Lead, Claims is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports. The Team Lead will report to and work directly with the Claims Manager to achieve team and departmental goals. The Team Lead will need to be able and pivot quickly in a fast growing company and department.</p> <h3><strong>How You’ll Do It</strong></h3> <p><strong>Claims Technical Oversight:</strong></p> <ul> <li>Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations. </li> <li>Ensure reserves are adequately set for the ultimate probable outcome of the claim </li> <li>Perform regular leader reviews and provide feedback and recommendations for individual claims files. </li> </ul> <p><strong>Operational Management:</strong></p> <ul> <li>Resolve escalated agent, broker, policyholder complaints and/or concerns.</li> <li>Identify trends that could be problematic and take steps to develop processes to correct.</li> <li>Additional project assignments at manager's discretion.</li> </ul> <p><strong>People Management: </strong></p> <ul> <li>Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims. Oversee of all claim activity.</li> <li>Promote department goals and objectives to the team of Adjusters.</li> <li>Monitor workflows, claims processes, claim metrics, claim triage and caseloads </li> <li>Build and promote customer service excellence. </li> <li>Hire and develop adjusters by identifying opportunities to grow and strengthen new skills. </li> </ul> &
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