Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
As a Claims Team Lead, Auto, you will supervise the operation of multiple teams of examiners and technical staff for liability claims for clients. Your responsibilities will include:
- Supervising multiple teams of examiners and technical staff
- Monitoring colleagues' workloads, providing training, and monitoring individual claim activities
- Providing technical/jurisdictional direction to examiner reports on claims adjudication
- Maintaining a diary on claims in the teams, including frequent diaries on complex or high exposure claims
- Identifying and advising management of trends, problems, and issues, as well as recommending courses of action
- Compiling, reviewing, and analyzing management reports and taking appropriate action
- Performing quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards
- Acting as a second level of appeal for client and claimant issues regarding claim-specific, procedural, or special requests
- Reviewing reserve amounts on high-cost claims and claims over the authority of the individual examiner
- Monitoring third-party claims and maintaining periodic reviews of litigated claims, serious vocational rehabilitation claims, questionable claims, and sensitive claims
- Maintaining contact with clients on claims and promoting a professional client relationship
- Assuring that direct reports are properly licensed in the jurisdictions serviced
- Ensuring claims files are coded correctly and adequate documentation is made by claims examiners
To qualify for this role, you will need:
- Six years of claims experience or equivalent combination of education and experience, including two years of claims supervisor experience
- Bachelor's degree from an accredited college or university preferred
- Licenses as required
- Professional certifications as applicable to line of business preferred
- Thorough knowledge of claims management processes and procedures for multiple product lines
- Excellent oral and written communication, including presentation skills
- PC literacy, including Microsoft Office products
- Leadership, management, and 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
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