BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal? To make doing business Ridiculously Fast. Amazingly Easy.

As a Claims Team Lead, you will be responsible for the administrative and technical supervision of a team of workers compensation claims professionals. Well look to you for staff training, development, and performance management; to monitor claim handling activities; and provide technical and jurisdictional specific direction and feedback to ensure timely and accurate investigation and adjudication of claims to produce quality outcomes.

• Supervises all technical aspects of claims including coverage investigation, disability benefits management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Provides team with technical training and claims handling guidance and direction
• Reviews reserve and settlement amounts over the Claims Representative authority level for approval
• Ensures claims are clearly and adequately documented, and ensures claims data is captured and coded correctly within the claims management software system
• Provides team support, leadership and motivation to promote a high level of performance
• Establishes team performance goals and objectives in alignment with business plans
• Directs team toward the achievement of established goals and objectives
• Performs claims quality reviews in compliance with audit requirements and quality standards on a monthly and quarterly basis
• Identifies and alerts senior management to claims trends or issues
• Resolves escalated policyholder and claimant issues related to specific claims
• Conducts regular coaching and performance feedback discussions
• Establishes performance and career development plans in collaboration with team members, management & HR
• Assures claims representatives are properly licensed or certified in assigned jurisdictions
• Partners with HR and management on engagement strategies to improve employee engagement, job satisfaction, and create a psychologically safe work environment
• Administers all company personnel policies and addresses and resolves personnel matters with the support of management and HR
• Conducts interviews of prospective claims representative candidates and provides feedback to assist senior management with hiring decisions
• Maintains and demonstrates knowledge of the Workers Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
• Attends and participates in claim file reviews with senior management and defense attorneys
• Coordinates and leads special projects or processes as assigned by senior management
• Continuously strives to improve our product and business results through innovation
• Obtain and maintain adjuster license in multiple jurisdictions

• Minimum 3 years of experience (4 5 years preferred) handling workers compensation claims in multiple jurisdictions
• Supervisory experience preferred but not required
• Exceptional leadership and motivational skills
• Excellent written, verbal, interpersonal and relationship building skills
• Excellent time management and organization skills
• Strong analytical and critical thinking skills
• Ability to effectively manage and develop talent
• Ability to implement policies, procedures and controls to measure and improve service and financial performance
• Ability to work independently and strategically problem solve
• Ability to diplomatically manage conflict
• Ability to develop relationships within the organization and work effectively across departments
• Strong discretion and integrity in dealing with highly confidential and sensitive information
• Detail oriented
• Ability to quickly learn to intuitively use internal systems

Education

• Bachelors degree or equivalent insurance industry work experience
• AIC, ARM, CCP, or CPCU insurance designation preferred