Supervise the operation of multiple teams of examiners and technical staff for disability claims for clients
Monitor colleagues' workload, provide training, and monitor individual claim activities
Provide technical/jurisdictional direction to examiner reports on claims adjudication
Maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims
Identify and advise management of trends, problems, and issues as well as recommended course of action
Inform management of new procedures and ideas for continuous process improvement
Compile, review and analyze management reports and take appropriate action
Perform quality review on claims in compliance with audit requirements, service contract requirements, and quality standards
Act as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests
Review reserve amounts on high cost claims and claims over the authority of the individual examiner
Monitor third party claims; maintain periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client
Maintain contact with the client on claims and promote a professional client relationship

Bachelor's degree from an accredited college or university preferred
Licenses as required
Professional certifications as applicable to line of business preferred
Six (6) years of claims experience or equivalent combination of education and experience required
Two (2) years of claims supervisory experience preferred
Thorough knowledge of claims management processes and procedures for disability
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/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

Workforce Absence Team Lead

Key skills