Job description

The Claims Team Lead supervises the activities and development of claim managers/staff to promote quality and effective claims handling. Supports the goals of Synergy Comp Insurance Company by assuring compliance with the claims handling model and the claims manual.

What You'll Do:

• Coach and mentor claim professionals by providing guidance on compensability, procedures, legal questions, and proper reserving and monitoring files.
• Meet regularly with Claims Managers and claims Support Coordinators on file reviews to develop claim strategies, ensuring consistent and successful execution of claims initiative.
• Complete file reviews on claims all open and reopened claims as scheduled, ensuring compliance with state and Synergy guidelines.
• Provide effective suggestions and strategies to claims managers to assist in driving files to closure.
• Ensure all claims of oversight are reserved at the ultimate probable cost.
• Monitor individual and team results to ensure they align with the targeted KPIs; develop individual and team strategies for all metrics of opportunity.
• Provide consultation on volume and staffing trends by reviewing weekly diary counts and the claims manager’s weekly report.
• Attend Litigated and Non-Litigated file reviews and ensure documentation/compliance with follow-up items discussed in the reviews.
• Facilitate weekly round table meetings to discuss problematic claims, code red claims, and department changes.
• Oversee completion of new hire onboarding for designated direct reports with completion of the training track, 30/60/90 day reviews, 6-month panel interviews, and established exams to HR within designated time frames.
• Assign claim files for Peer Audit and ensure monthly Peer Audits are completed by the Claims Supervisor.
• Manage Adjuster Licenses and ensure timely completion of CE credits to maintain an active license.
• Keep senior management informed on major claims or those that present challenging resolutions. Involve General Counsel on claim issues and decisions when appropriate.

Qualifications

• Bachelor’s Degree from an accredited college or university required
• Five years of claims management experience, with demonstrated success in managing and motivating teams
• Insurance designation preferred but not required
• Well-developed outside attorney management/oversight skills involving large, complex claims in a range of jurisdictions
• Excellent knowledge of workers comp investigative techniques and legal precedents.
• PA & NJ Workers Comp experience preferred

What makes working at Synergy Comp great?

• Flexible work environment
• 5-Time Winner “Best Places to Work in PA.”
• Dedicated committees devoted to employee team building, fun, & community
• Inc. 5000 List (Fastest Growing Companies) 2016 - 2021
• Pittsburgh Business Ethics Award

What We Offer:

Health Benefits: Medical, Dental, Vision, insurance with employer HSA contributions

Enjoy Some Downtime: Self-managed PTO

Family First: 100% paid maternity, paternity, and parental leave

Prepare for your future: 401K contributions with company match and no vesting period

Self Care and Work-Life Balance: Personalized wellness coach and fitness facility reimbursement

Investment in Your Career: College loan and professional development reimbursement

Get Paid to Recruit: $5,000 employee referral bonus

Fur Family: Pet insurance

Hard Work Pays Off: Profit sharing based on company performance

Job Type: Full-time

Pay: $51,670.29 - $118,000.27 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Vision insurance

Physical setting:

• Office

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Work Location: Remote

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