**This position is eligible to work from home anywhere in the United States**
- Oversees and monitors the workload and performance of the team.
- Reviews and evaluates teams phone calls for accuracy and content of instruction.
- Guides team through work issues and answers questions.
- Collaborates with team members to establish performance goals and monitors status.
- Conducts performance reviews and provides feedback.
- Interviews, hires, and recommends salary adjustments for team members.
- Resolves disciplinary issues, reviews results, action plans, and progress.
- Provides training for team.
- Develops team knowledge and assists with succession planning, including identifying talent.
- Supports diversity, equity, and inclusion initiatives.
- Fosters an innovative culture, including supporting new ideas and providing guidance on potential changes.
- Monitors quality and timely entry of losses and mail into CLMS and Guidewire, ensuring alignment and consistency throughout assigned line of business.
- Enters specialty accounts into the claims system, including controlled cost and retro based claims set up and payments.
- Reviews audit reports on claims files and follows-up with support team member on discrepancies and other issues.
- Monitors and ensures team is following established CLMS indexing processes timely and issues are being resolved accurately.
- Issues, voids, and enters stop payments on checks.
- Balances claim files, including insured deductibles. Reimburses insureds in cases of overpayment.
- Investigates state reporting errors and rejections and ensures accurate and timely handling of each.
- Analyzes claims information in CLMS and makes corrections to data.
- High school diploma or equivalency
- Five years of experience with claims support or related experience
- Previous supervisory or leadership experience preferred
- Thorough knowledge of insurance and claims terminology
- Excellent customer service skills and good telephone etiquette
- Strong organizational and problem-solving skills
- Ability to multi-task and meet deadlines
- Strong computer and data entry skills
- Strong written and verbal communication skills, including customer services skills
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.