Claims Team Lead (PA)
Kismet Recruiting Group Kismet Recruiting Group Sharon, PA Sharon, PA Estimated:
$97.
7K - $124K a year Estimated:
$97.
7K - $124K a year Kismet client, Synergy Comp, is a monoline Workers' Compensation carrier founded in 2006 that specializes in providing highly effective workers' compensation and workplace safety solutions that seamlessly combine innovative claims resolution, risk management, and loss prevention strategies, with a total commitment to creating a culture within the workplace that embraces safety as a core operating principle.
Their goal is to form long term relationships with companies that are looking to drive down their claims and safety costs, improve employee morale and ultimately add dollars to their bottom line.
Job Description Who You Are:
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 What You'll Need:
Bachelor's Degree from an accredited college or university required 5 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 Workers Comp experience preferred Additional Information What Makes Synergy Different? Collaborative approach to process improvement; Upper management works diligently to ensure Claims Department goals are reasonable and attainable and is open to feedback from Team Leads on how to reach these goals.
Claims Team is involved in every aspect of the business including Sales, Underwriting, and Safety/Loss Prevention which allows for career growth.
Manageable caseloads for Adjusters and Team Lead which results in engaged staff and a positive working environment.
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:
We work hard to provide our employees with a comprehensive benefits package that improves their lives.
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 Please check out their website for more information:
https:
//www.
synergyinsurance.
com/working-for-synergy 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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
$97.
7K - $124K a year Estimated:
$97.
7K - $124K a year Kismet client, Synergy Comp, is a monoline Workers' Compensation carrier founded in 2006 that specializes in providing highly effective workers' compensation and workplace safety solutions that seamlessly combine innovative claims resolution, risk management, and loss prevention strategies, with a total commitment to creating a culture within the workplace that embraces safety as a core operating principle.
Their goal is to form long term relationships with companies that are looking to drive down their claims and safety costs, improve employee morale and ultimately add dollars to their bottom line.
Job Description Who You Are:
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 What You'll Need:
Bachelor's Degree from an accredited college or university required 5 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 Workers Comp experience preferred Additional Information What Makes Synergy Different? Collaborative approach to process improvement; Upper management works diligently to ensure Claims Department goals are reasonable and attainable and is open to feedback from Team Leads on how to reach these goals.
Claims Team is involved in every aspect of the business including Sales, Underwriting, and Safety/Loss Prevention which allows for career growth.
Manageable caseloads for Adjusters and Team Lead which results in engaged staff and a positive working environment.
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:
We work hard to provide our employees with a comprehensive benefits package that improves their lives.
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 Please check out their website for more information:
https:
//www.
synergyinsurance.
com/working-for-synergy 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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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