California Licensed Claims Team Lead

Job Summary

Supervising multiple teams of examiners, the full-time California Licensed Claims Team Lead will adjudicate complex workers' compensation claims, provide technical direction, and drive continuous process improvement while working remotely.

Key responsibilities

• Supervises teams of examiners and technical staff, ensuring efficient claims processing and compliance with quality standards
• Identifies trends and issues in claims management, advising management on recommended actions and process improvements
• Acts as a second level of appeal for claim-specific issues, maintaining professional client relationships and overseeing high-cost claims

Required qualifications

• 5 years of California Workers Compensation claims management experience or equivalent education and experience
• Supervisory experience preferred
• High School Diploma or GED required; Bachelor's degree preferred
• Professional certification applicable to the line of business preferred
• Knowledge of California jurisdiction required