Claims Ops Team Leader

hace 3 semanas

Tijuana, México Integon Service Co. A tiempo completo

Our Company
Integon Service Co. supports its insurance company affiliates, which offer property and casualty insurance products, including personal auto, homeowners, RV, motorcycle, small business auto insurance and more.
With our Mexico headquarters located in Tijuana, Baja California, at Integon, with over 1000 employees, we continue to grow our portfolio of remote positions that can be filled anywhere in the country. We offer the stability of a large corporation with the flexibility of a remote or hybrid career.
We continue to build a caring and inclusive company culture and are proud to be certified as a Great Place to Work
What We Offer As a Great Place To Work
- Highly competitive compensation and benefits package
- Paid Time Off (PTO) additional to your vacation days
- Career development and growth opportunities
- Full access to our wellness center and wellness initiatives
- Being part of an international organization with high exposure to multiple teams across North America
- Job Summary:

The Team Leader is responsible for leading a complex and occasionally highly complex claim service process and/or directing the work of typically five to ten non-exempt, customer-facing staff. The individual supports the implementation of complex and occasionally highly complex operational initiatives that enable the achievement of Claim, Discipline, Claims Service Area (CSA) or Company business objectives.- Key Responsibilities:Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts, or issues
- Summarizes documents and enters into claim system notes
- Documents a claim file with notes, evaluations, and decision-making process
- Manages multiple complex and occasionally highly complex work assignments with limited guidance provided
- Administers company Human Resources policies, seeking input from more experienced Team Leads or FPL as necessary
- Gathers, analyzes, and evaluates complex and occasionally highly complex claim processes or procedures; obtains facts and explains complex information
- Supervisory Responsibilities:

This job does have supervisory duties
Preferred Qualifications:

Education and Experience
- High school diploma or equivalent experience
- 2 or more years of related experience

Functional Skills
- Applies advanced knowledge of insurance policy, coverage, and regulation
- Applies advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
- Applies advanced knowledge of analytical procedures to reconcile, manipulate, & recognize patterns of data
- Applies advanced knowledge of problem-solving and preparation of complex reports for analysis
- Applies advanced negotiation and/or arbitration skills
- Applies advanced conflict management and problem resolution skills in managing internal and external customer relationships
- May work within complex and occasionally highly complex assignments requiring specialized knowledge in breadth and/or depth in area of expertise

Integon, a Great Place to Work, provides innovative technology and customer support services to major personal lines insurance providers, including Fortune 100 companies rated A+ (Superior), by A.M. Best, for financial strength.

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