Claims-mgmt Supp-team Ld I

hace 7 días


Tijuana, México Integon Service Co. A tiempo completo

Job Summary:- The Team Lead I 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 informationSupervisory Responsibilities:- This job does have supervisory duties- Preferred Qualifications:- Education and Experience- Bachelor’s Degree or equivalent-- 3 or more years of related experience- Certificates, Licenses, Registrations- None- 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 expertiseIntegon, 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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