Team Leader

To produce a high performing, market leading claims team with a focus on the Accident & Health, Specialty Personal Line, Property and Casualty Claims.

Requirements

• Technical Supervision of the quality and workflow of claims within the team.
• Review of all claim coverage denials and quality of resultant coverage response letters.
• Administrative supervision and responsibility for the claims team.
• Coach and develop claims team members.
• Work with Claims Department, Operations Department and IT to ensure relevant management reports are established and regularly produced.
• Identify claim trends and monitor large losses, and report on both to claims management and underwriting as required.
• Personally handle large or contentious losses within the claim portfolio.
• Handle after hours calls for emergency cases and supervise the ongoing management of these emergency or high cost cases.
• Monitor, vet and report on international economic and trade Sanction cases.
• Work to increase customer satisfaction and reduce complaints in the handling of claims.
• Be closely involved in talent management and succession planning for the team.
• Review all current claim processes and explore ways to improve and enhance efficiency while continuing to deliver market competitive distinguishable/optimal claims management.
• Conduct performance reviews/goal setting of all staff.
• Perform quality audits of staff claims in accordance with internal requirements.
• Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.
• Nominate, review and endorse process improvement ideas from the team to the Manager.