What are the responsibilities and job description for the Claims Team Lead - Workers' Compensation (Medical Only) position at biBERK Insurance Services?
The Workers' Compensation Medical Only Claims Team Lead will lead a medical only Workers' Compensation claims team and handle a reduced pending of medical only Workers' Compensation claims. This position will oversee a team of claims professionals handling nationwide medical only claims and claims technicians providing administrative support to the Workers' Compensation claims department.
Location : This is a full-time remote position. This position may require occasional travel to attend mediations, trainings, trials and / or other related department meetings.
Job Responsibilities
The Claims Team Lead- WC Medical Only will be responsible for, but not limited to :
- Evaluate, reserve, and manage a reduced pending of nationwide Medical Only Workers' Compensation claims
- Partner with medical providers, customers, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills
- Ensure compliance with state and federal Workers' Compensation regulations
- Provide exceptional customer service to injured workers, medical providers, and customers
- Responsible for team performance, development, and coaching a team consisting of medical only claims professionals and claims technicians
- Partner with Claims Supervisor to identify training opportunities
- Assist team with escalated issues, claim strategies, coverage positions, and guide team members to the appropriate resources
- Conduct bi-annual performance and development discussions with team members
- Communicate regularly with internal and external stakeholders regarding claim status
- Follow escalation and reporting requirements on claims with significant exposure
- Conduct team Roundtables and Committees to align on reserves and settlement values
- Recognize exposures and ensure reserves are adequate and timely
- Conduct weekly team meetings and regular check-in discussions with individual team members
- Proactively manage claim resolution, including formation and implementation of action plans
- Document claim files in accordance with company and regulatory guidelines
- Identify subrogation potential and red flags that require SIU involvement
- Train new team members; provide ongoing coaching and support to team
- Maintain adjuster licenses, as required
Qualifications
About biBerk
biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBERK.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A insurer.
BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBERK are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
Some highlights of our benefits are :
