Remote Workers' Compensation Claims Lead

Pie Insurance; Oregon; Hybrid; USD 110,000 - 135,000; Full time

Benefits offered by this job

Competitive cash compensation

Comprehensive health plans

Generous PTO

Future focused 401k match

Generous parental and caregiver leave

Core values in practice

Job summary

Pie Insurance is seeking a Claims Team Lead to guide a team of adjusters and specialists, ensuring high-quality, timely claims outcomes. You will oversee claims activity, drive process improvements, and align the team with department goals while reporting to the Claims Manager.

The role emphasizes leadership, expert knowledge of workers’ compensation across multiple states, and strong communication to coordinate with internal and external stakeholders.

Qualifications

• 2+ years of adjusting claims at a senior level.
• California workers' compensation experience required; additional experience in AZ, NM, NV, OR, or UT is a plus.
• Comprehensive knowledge of workers' compensation in multiple states along with general insurance policy coverage and state case laws.
• Excellent written, verbal, and presentation skills; ability to convey complex information clearly.

Responsibilities

• Review and approve claim denials, payments, settlements, trials, and reserve requests.
• Perform claim audits to ensure compliance, procedures, and quality expectations.
• Ensure reserves are adequately set for the ultimate probable outcome of the claim.
• Lead reviews and provide feedback for individual claims files.
• Resolve escalated complaints and identify process improvements.

Skills

Senior adjuster

Leadership

Communication

Problem solving

G-Suite

Microsoft Office

Education

High school diploma or GED

Bachelor's degree preferred

Tools

G-Suite

Microsoft Office

Job description

Pie Insurance is seeking a Claims Team Lead to guide a team of adjusters and specialists, ensuring high-quality, timely claims outcomes. You will oversee claims activity, drive process improvements, and align the team with department goals while reporting to the Claims Manager.

The role emphasizes leadership, expert knowledge of workers’ compensation across multiple states, and strong communication to coordinate with internal and external stakeholders.