California Licensed Claims Team Lead

Job Summary

Leading a team of Adjusters and Specialists, the full-time California Licensed Claims Team Lead will provide technical oversight on claims adjudication, manage performance and development of direct reports, and resolve escalated complaints, all while working remotely.

Key responsibilities

• Review and approve claim denials, payments, settlements, and perform claim audits for compliance and accuracy
• Resolve escalated agent, broker, and policyholder complaints while identifying and addressing problematic trends
• Develop and lead a team of adjusters, ensuring timely resolution of claims and promoting customer service excellence

Required qualifications

• 2+ years of adjusting claims at a senior level with California workers' compensation experience required
• Comprehensive knowledge of workers' compensation laws and insurance policy coverage across multiple states
• Advanced leadership skills with a focus on developing direct reports
• Intermediate proficiency in G-Suite Tools, collaboration tools, and Microsoft Office suite
• High School diploma or GED required; Bachelor's Degree preferred