Team Lead, Claims - Workers Compensation at Pie Insurance

, , United States -

Full Time

Start Date

Immediate

Expiry Date

03 Mar, 26

Salary

140000.0

Posted On

03 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Adjusting, Workers Compensation, California Claims Experience, Arizona Claims Experience, Utah Claims Experience, Texas Claims Experience, Colorado Claims Experience, Communication Skills, Problem Solving Skills, Leadership Skills, G-Suite Tools, Collaboration Tools, Microsoft Office Suite

Industry

Insurance

Description

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Team Lead, Claims is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports. The Team Lead will report to and work directly with the Claims Manager to achieve team and departmental goals. The Team Lead will need to be able and pivot quickly in a fast growing company and department. How You’ll Do It Claims Technical Oversight: Review and approve claim denials, payments, settlements, trials, and reserve requests. Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations. Ensure reserves are adequately set for the ultimate probable outcome of the claim Perform regular leader reviews and provide feedback and recommendations for individual claims files. Operational Management: Resolve escalated agent, broker, policyholder complaints and/or concerns. Identify trends that could be problematic and take steps to develop processes to correct. Additional project assignments at manager's discretion. People Management: Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases. Oversee of all claim activity. Promote department goals and objectives to the team of Adjusters and Specialists. Monitor workflows, claims processes, claim metrics, claim triage and caseloads Build and promote customer service excellence. Hire and develop adjusters by identifying opportunities to grow and strengthen new skills. The Right Stuff 2+ years of adjusting claims at a senior level. Claims experience working in California is required. Experience in Arizona, Utah, Texas and/or Colorado preferred. Comprehensive knowledge of workers compensation in multiple states along with general insurance policy coverage and the state case Laws. Advanced communication (written, verbal and presentation) skills, to deliver complex information effectively and align people with the needs of the project/team. Advanced problem solving skills, to be able to manage complex situations with multiple layers, and resolve to solution anticipating needs now and into the future. Intermediate awareness of your own tasks, and how it impacts the team and deliverables Advanced leadership skills, focusing on the growth and development of direct reports. G-Suite Tools, Collaboration tools, Microsoft Office suite. High School diploma or GED required, Bachelor's Degree preferred. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $115,000—$140,000 USD Compensation & Benefits Competitive cash compensation A piece of the pie (in the form of equity) Comprehensive health plans Generous PTO Future focused 401k match Generous parental and caregiver leave Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Responsibilities

The Team Lead, Claims is responsible for leading a team of Adjusters and Specialists, ensuring optimal claim outcomes and experiences for clients. This includes monitoring workloads, providing technical direction, and managing performance and development of direct reports.