Claims Team Lead – Workers Compensation

Jobtailor; Deutschland; Remote; EUR 65.000 - 100.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a seasoned supervisor to lead multiple teams of workers' compensation examiners and technical staff in Germany. The role includes coordinating workloads, providing jurisdictional guidance, and driving process improvements across claims handling.

You will mentor staff, conduct performance discussions, and ensure adherence to quality and audit standards while maintaining strong client relationships and timely reporting.

Qualifikationen

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification 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 supervisor experience required.
• CA licensing/jurisdiction knowledge.
• Direct reports must be properly licensed in the jurisdictions serviced.
• Clear and conceptual thinking ability.
• Excellent judgment, troubleshooting, problem solving, analysis, and discretion.
• Ability to handle work-related stress.
• Ability to handle multiple priorities simultaneously.
• Ability to meet deadlines.
• Computer keyboarding.
• Travel as required.

Aufgaben

• Supervise multiple teams of workers compensation examiners and technical staff.
• Monitor colleagues' workloads and individual claim activities.
• Provide training and technical/jurisdictional direction on claims adjudication.
• Maintain diaries on claims, including complex or high exposure claims.
• Identify trends, problems, and issues and advise management on recommended actions.
• Coordinate management projects and continuous process improvement initiatives.
• Compile, review, and analyze management reports.
• Perform quality reviews on claims in compliance with audit, service contract, and quality standards.
• Act as second level of appeal for client and claimant issues and implement final dispositions.
• Review reserve amounts on high cost claims and claims over examiner authority.
• Monitor third party, litigated, serious vocational rehabilitation, questionable, and sensitive claims.
• Maintain client contact, promote professional client relationships, and make claim-status recommendations.
• Provide written claim summaries to clients as requested.
• Ensure claims files are correctly coded and adequately documented.
• Administer company personnel policies and staffing standards.
• Interview, hire, and establish colleague performance development plans.
• Conduct colleague performance discussions and provide leadership, guidance, and motivation.
• Support the organization's quality programs

Kenntnisse

Claims Supervision

Claims Adjudication Training

Process Improvement

CA Licensing Knowledge

Quality Review

Ausbildung

High School Diploma or GED

Bachelor's degree preferred

Professional Certification

Jobbeschreibung

• Supervise multiple teams of workers compensation examiners and technical staff


• Monitor colleagues' workloads and individual claim activities


• Provide training and technical/jurisdictional direction on claims adjudication


• Maintain diaries on claims, including complex or high exposure claims


• Identify trends, problems, and issues and advise management on recommended actions


• Coordinate management projects and continuous process improvement initiatives


• Compile, review, and analyze management reports


• Perform quality reviews on claims in compliance with audit, service contract, and quality standards


• Act as second level of appeal for client and claimant issues and implement final dispositions


• Review reserve amounts on high cost claims and claims over examiner authority


• Monitor third party, litigated, serious vocational rehabilitation, questionable, and sensitive claims


• Maintain client contact, promote professional client relationships, and make claim-status recommendations


• Provide written claim summaries to clients as requested


• Ensure claims files are correctly coded and adequately documented


• Administer company personnel policies and staffing standards


• Interview, hire, and establish colleague performance development plans


• Conduct colleague performance discussions and provide leadership, guidance, and motivation


• Support the organization's quality programs

Requirements

• High School Diploma or GED required


• Bachelor's degree from an accredited college or university preferred


• Professional certification 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 supervisor experience required


• CA licensing/jurisdiction knowledge


• Direct reports must be properly licensed in the jurisdictions serviced


• Clear and conceptual thinking ability


• Excellent judgment, troubleshooting, problem solving, analysis, and discretion


• Ability to handle work-related stress


• Ability to handle multiple priorities simultaneously


• Ability to meet deadlines


• Computer keyboarding


• Travel as required

Core Competencies

Demonstrates expertise in claims supervision, including training and directing teams, managing complex claims, and ensuring compliance with quality standards. Proficient in analyzing management reports and implementing process improvements while maintaining strong client relationships.

Highest-signal resume keywords

• Claims Supervision Experience


• Claims Adjudication Training


• Process Improvement Initiatives


• CA Licensing/Jurisdiction Knowledge


• Quality Review Compliance

ATS Optimization Keywords

Hard Skills

• Claims Experience


• Claims Adjudication


• Management Reporting


• Quality Review
  
• Performance Development Plans


• Claims Coding


• Troubleshooting


• Problem Solving


• Analysis


• Computer Keyboarding

Soft Skills

• Clear Thinking Ability


• Excellent Judgment


• Discretion


• Stress Management


• Multi-Priority Handling

Certifications & Qualifications

• Professional Certification

Industry Keywords

• Workers Compensation


• Claims Management


• Client Relationships


• High Exposure Claims


• Litigated Claims


• Vocational Rehabilitation


• Audit Standards


• Service Contract Compliance