Claims Team Lead, Auto (PIP)

About the role

Sedgwick is hiring a Claims Team Lead, Auto (PIP) to supervise the operation of personal injury protection (PIP) examiner teams and technical staff for clients. The role involves monitoring colleagues' workloads, providing training, overseeing individual claim activities and giving technical and jurisdictional direction to examiner reports on claims adjudication.

Key responsibilities

• Supervise multiple teams of examiners, product line examiners and technical operations colleagues (at least seven), delegating some duties within the unit.
• Identify and advise management on trends, problems and issues, recommend improvements and coordinate with management projects.
• Provide technical and jurisdictional direction to examiner reports on claims adjudication.
• Review and analyze management reports and perform quality reviews of claims in line with audit, service contract and quality standards.
• Act as second-level appeal for client and claimant issues and implement the final disposition.
• Maintain contact with the client, make recommendations based on claim status and provide written summaries of specific claims.
• Ensure direct reports are properly licensed in the jurisdictions served and that claims files are coded correctly with adequate documentation.
• Administer company personnel policies, interview and hire colleagues, set performance development plans and hold performance discussions.
• Provide support, guidance, leadership and motivation to promote maximum performance.

Required profile

• Six years of claims experience, or an equivalent combination of education and experience, including two years as a claims supervisor.
• Bachelor's degree from an accredited college or university preferred.
• Licenses as required and professional certifications applicable to the line of business preferred.

Required skills

• Thorough knowledge of claims management processes and procedures across multiple product lines.
• Excellent oral and written communication, including presentation skills.
• PC literacy, including Microsoft Office.
• Leadership, management and motivational skills, analytical and interpretive skills, strong organization and interpersonal skills, and negotiation skills.
• Ability to work in a team environment.