Pie Insurance
CA - Team Lead, Claims Workers' Compensation
United States · Senior
Sponsorship not specified$110k-$135kDetected 72 days ago
CompliancePerformance ManagementCustomer SupportLeadershipCommunicationCollaborationProblem SolvingMicrosoft Office
About the role
- We leverage technology to transform how small businesses buy and experience commercial insurance.
- Additionally, this role is responsible for performance management and development of direct reports.
- All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process.
Responsibilities
- Identify trends that could be problematic and take steps to develop processes to correct.
Nice to have
- Oversee of all claim activity.
- Promote department goals and objectives to the team of Adjusters.
- Monitor workflows, claims processes, claim metrics, claim triage and caseloads
- 2+ years of adjusting claims at a senior level.
- Claims experience working in California is required.
- Experience in Arizona, Florida, Illinois, Pennsylvania, New Jersey or Georgia is preferred.
- Licensing may be required in additional jurisdictions based on business needs.
- Advanced leadership skills, focusing on the growth and development of direct reports.
Compensation
- Competitive cash compensation
- When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.
Benefits
- A piece of the pie (in the form of equity)
- Comprehensive health plans
- Generous parental and caregiver leave
Company info
- 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.
- Lead will report to and work directly with the Claims Manager to achieve team and departmental goals.
- Lead will need to be able and pivot quickly in a fast growing company and department.
- How You'll Do It
- Claims Technical Oversight:
- Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations.
- Ensure reserves are adequately set for the ultimate probable outcome of the claim
- Perform regular leader reviews and provide feedback and recommendations for individual claims files.
- Operational Management:
- Resolve escalated agent, broker, policyholder complaints and/or concerns.
- Additional project assignments at manager's discretion.
- People Management:
- Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims. Oversee of all claim activity.
- Build and promote customer service excellence.
- Hire and develop adjusters by identifying opportunities to grow and strengthen new skills.
- The Right Stuff
- Claims experience working in California is required. Experience in Arizona, Florida, Illinois, Pennsylvania, New Jersey or Georgia is preferred.
- Comprehensive knowledge of workers compensation in multiple states along with general insurance policy coverage and the state case Laws.
- Advanced communication (written, verbal and presentation) skills, to deliver complex information effectively and align people with the needs of the project/team.
- Advanced problem solving skills, to be able to manage complex situations with multiple layers, and resolve to solution anticipating needs now and into the future.
- Intermediate awareness of your own tasks, and how it impacts the team and deliverables
Equal opportunity
- Pie Insurance is an equal opportunity employer.
Visa & Work Authorization
- xual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic
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This listing is sourced directly from Pie Insurance's careers page and normalized into a canonical job model.