ESIS Claims Team Leader, AGL

JOB DESCRIPTION

Major Duties & Responsibilities:


* Review initial notice of claim to determine coverage validity and eligibility for streamlined processing.

Identify appropriate actions for cases with questionable or absent coverage.


* Assign work to Claims Representatives and delegate settlement authority in collaboration with the Claims Vice President or Unit Manager.

Retain higher settlement authority for complex cases and refer matters beyond scope to Unit Managers.


* Supervise investigations and oversee the settlement or disposition of claims, ensuring prompt contact with insured parties and claimants, timely investigations, and fair settlements.


* Establish and review loss reserves to accurately reflect the company's obligations, making adjustments as necessary.


* Settle claims directly as needed, based on office size, territory, and workload.


* Evaluate the performance of Claims Representatives on open cases and at regular intervals, providing guidance and identifying areas for improvement.


* Initiate subrogation or recovery proceedings as appropriate.

For litigated cases, coordinate and direct the activities of Claims Attorneys, and negotiate and authorize settlements.


* Participate in human resources processes for the unit, including conducting performance evaluations, implementing training and development, and supporting salary administration.


* Oversee recruitment and staffing for the unit as vacancies arise.

QUALIFICATIONS



* Minimum of 7 years of claims handling experience, demonstrating a high level of technical knowledge and competence.


* Experience handling claims across multiple jurisdictions; appropriate Adjuster Licenses preferred.


* Proven ability to plan, organize, and implement business and personnel management practices, supported by completion of management and technical programs, college-level coursework, or equivalent practical experience.


* Strong change leadership skills, including the ability to address resistance at both team and individual levels, and to independently evaluate and implement claims management best practices through coaching, training, and mentoring.


* Solid understanding of team building principles and continuous quality improvement techniques, with the ability to apply these concepts to ongoing activities.


* Effective leadership skills, with the ability to coach, develop, and guide team members toward achieving goals and objectives.


* Excellent communication, negotiation, and interpersonal skills for effective interaction at all organizational levels, both internally and externally.


* Strong analytical and problem-solving abilities.


* Demonstrated commitment to providing consistently superior customer service.


* Sets a positive example for the unit or office by taking initiative, handling challenging tasks, and holding oneself and others accountable to high standards.

An applicable resident or design...