Workers Compensation Claims Team Lead | NY license

Insurance Placement Solutions has an immediate opening for a Remote Workers' Compensation Claims Team Lead with our client.

As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes.

In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Workers Compensation Lost Time Claims Team Lead Responsibilities

• Supervise a team of workers' compensation claims examiners, with the option to delegate duties within the unit.
• Identify and report trends, issues, and recommendations to management. Propose new procedures for continuous process improvement and coordinate office projects.
• Provide technical and jurisdictional guidance on claims adjudication.
• Compile, review, and analyze management reports, taking appropriate action as needed.
• Perform quality reviews on claims to ensure compliance with audit, service contract, and quality standards.
• Review reserve amounts on high-cost claims and those exceeding individual examiner authority.
• Maintain regular contact with clients to foster strong relationships, provide updates, and make claim recommendations; prepare written summaries of specific claims upon client request.
• Ensure claims files are correctly coded and appropriately documented by examiners.

Experience

• 3+ years of experience handling lost-time / indemnity claims as a workers' compensation claims adjuster
• Previous experience in a supervisory or team lead role
• Must have previous experience handling New York claims

License

A valid New York adjuster license is required

Education

A high school diploma or equivalent is required

About Insurance Placement Solutions

IPS is an insurance staffing and recruiting firm dedicated to the insurance industry, including workers' compensation claims adjuster jobs in the US area.

Our services are designed to be a resource for clients to gain access to high-caliber talent. Many of our clients do not have the dedicated manpower to quickly fill their temporary, temporary-to-hire, or direct hire vacancies.

That is where we come in. Our clients are able to utilize our services to maintain business as usual during unforeseen interruptions and fluctuating business needs.

Plus, our candidates benefit from gaining backdoor access to highly sought-after positions with top companies in the industry.