claims team leader

Nextcare

<div>
 
 
 Key Responsibilities
 
 /What You Do
 
 
 
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 Manages routine daily claims administration work.
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 Coordinates work flow &amp; meet deadlines
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 Give support and guidance on escalated issues, complaints and challenging claims and lead by example
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 Attends calls and e-mails from insurance companies, clients and providers.
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 Responsible for the allocation of work throughout the team, compliance with service level agreements, the quality of the service, team productivity and reducing complaints.
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 Assist for the professional development of team members and identification of specific training needs and mentoring.
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 Support to have successful and efficient operation of the team and the oversight of all highprofile claims.
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 Increases efficiency, minimizes errors and administration time.
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 Own the day-to-day escalated claims by the team, but also by customers and partners.
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 To act as a technical reference point across the team
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 Use Allianz Partners client database accurately and effectively to ensure reports generated give a true reflection of the department&rsquo;s workload, which consequently facilitates effective target planning
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 Other Ad hoc duties as required.
 
 
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 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 
 
 
 Key Requirements/What You Bring
 
 
 
 <ul>
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 Bachelor&rsquo;s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
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 3-5 years&rsquo; experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
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 With at least 1 year proven work experience as a team leader or similar role
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 Organized with the ability to prioritize and multi-task
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 Strong leadership and great analytical skills
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 With high level of technical knowledge and professionalism at all times to lead by example
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 Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.
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 Legally permitted to work in the country of operations.
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 Hybrid working option available as per business requirements.
 
 
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 How we hire
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 
 
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 
 
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in.
 
 
 We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
 
 
 Great to have you on board. Let's care for tomorrow.
</div>

Claims Processing Team Leader

Tesla

<div>What to Expect<div>
We are building a new Total Loss team at Tesla Insurance and seeking a Supervisor who is energized by the opportunity to build from the ground up, drive innovation, and redefine how total loss claims are handled in the industry. This leadership role will guide a team of total loss adjusters while serving as both a people leader and a process architect. You won't just manage day-to-day operations&mdash;you'll shape the future state of total loss handling by challenging traditional approaches and improving speed, accuracy, transparency, and customer experience. If you're passionate about disrupting legacy insurance processes, leveraging Tesla's unique vehicle data, and building a high-performing team in a dynamic environment, this is your chance to make a lasting impact.</div> 

What You'll Do<div><ul>
<li>Recruit, onboard, develop, and lead a high-performing team of 5&ndash;8 total loss adjusters, fostering a culture of ownership, innovation, and accountability</li>
<li>Establish performance standards, conduct regular coaching, and develop future leaders within the team</li>
<li>Design, refine, and own total loss workflows, including valuation standards, quality controls, and documentation to enhance efficiency and accuracy</li>
<li>Identify inefficiencies in traditional total loss processes and implement scalable improvements, leveraging Tesla vehicle telematics, analytics, and data for better outcomes</li>
<li>Collaborate with Product, Engineering, Data, Salvage, and Compliance teams to pilot innovations such as valuation automation, early total loss detection, digital customer communications, and salvage optimization</li>
<li>Define and track KPIs that measure both operational performance and progress toward innovative, future-state goals</li>
<li>Contribute to long-term strategy for total loss handling, act as a thought partner in redefining industry norms, and lead change management as new systems and automations are deployed</li>
</ul></div> 
What You'll Bring<div><ul>
<li>5+ years of auto claims leadership experience, with deep expertise in total loss claims handling</li>
<li>Proven track record of leading teams, including recruitment, coaching, performance management, and building engagement in new or evolving environments</li>
<li>Strong knowledge of total loss valuation methodologies, salvage processes, state regulatory requirements, and settlement negotiations</li>
<li>Demonstrated success in process improvement, innovation, or transforming legacy workflows in insurance or related fields</li>
<li>Comfort thriving in ambiguity while building new structures, processes, and teams from the foundation up</li>
<li>Analytical mindset with experience using data, telematics, or analytics to inform decisions and drive results</li>
<li>Genuine excitement for challenging the status quo in insurance and contributing to Tesla's mission to innovate claims handling</li>
</ul></div> 
Compensation and Benefits<div>
Benefits</div><div>
Along with competitive pay, as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire:
<ul><li>Medical plans &gt; plan options with $0 payroll deduction</li>
<li>Family-building, fertility, adoption and surrogacy benefits</li>
<li>Dental (including orthodontic coverage) and vision plans, both have options with a $0 paycheck contribution</li>
<li>Company Paid (Health Savings Accounts) HSA Contribution when enrolled in the High-Deductible medical plan with HSA</li>
<li>Healthcare and Dependent Care Flexible Spending Accounts (FSA)</li>
<li>401(k) with employer match, Employee Stock Purchase Plans, and other financial benefits</li>
<li>Company paid Basic Life, AD&amp;D</li><li>
Short-term and long-term disability insurance (90 day waiting period)</li>
<li>Employee Assistance Program</li>
<li>Sick and Vacation time (Flex time for salary positions, Accrued hours for Hourly positions), and Paid Holidays</li>
<li>Back-up childcare and parenting support resources</li>
<li>Voluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft &amp; legal services, and pet insurance</li>
<li>Weight Loss and Tobacco Cessation Programs</li>
<li>Tesla Babies program</li>
<li>Commuter benefits</li>
<li>Employee discounts and perks program</li> 
</ul></div> 
 
Tesla is an Equal Opportunity / Affirmative Action employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status, gender identity or any other factor protected by applicable federal, state or local laws. 
 
Tesla is also committed to working with and providing reasonable accommodations to individuals with disabilities. Please let your recruiter know if you need an accommodation at any point during the interview process.</div>

Auto Damage Supervisor, Total Loss

Pru Life UK

<div>
 Prudential&rsquo;s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people&rsquo;s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
 
 
 
 Prudential (UK) in partnership with HCL group
 
 plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer.
 
 
 This joint venture will combine Prudential's global expertise in insurance and financial services with HCL Group&rsquo;s experience in technology and healthcare solutions.
 
 
 Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India&rsquo;s first World Cup Victory!
 
 
 Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience.
 
 
 To partner with us in this mission, we are looking for a talented Assistant Manager &ndash; Claims Management to join our Experience team in Mumbai.
 
 
 
 Assistant Manager &ndash; TPA Claims Management
 
 
 
 As an Assistant Manager Claims, your typical week might include the following:
 
 
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 Guiding TPA processing team by providing medical opinion for Health Insurance Claims
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 Ensure claims of valid settlements are made according to the company practice and procedures.
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 Processing and approving medical claims pertaining to Indemnity, Benefit for both Group and Retail, with sharp FWA and Loss minimization approaches.
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 Thorough on the compliance and regulatory requirements and implementation in the claims process.
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 Case management of potential cases to Network team, maintaining data of referred/saving achieved/impact against cashless outgo.
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 Automation and rule driven decision making with timely update of benefit in TAT / TMS / Transaction
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 Create and reviewing claim simplification guidelines to Improve TAT, Minimize transaction.
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 Medical decisioning and guidance to the team
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 Audit of TPA processed claims and also Inhouse processed claims.
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 Regulatory compliances &ndash; Claim processing guideline as per compliance and timely implementation of any New Circular.
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 Train TPA teams &ndash; Timely Training of TPA for new benefit, process change, Understanding and claim Philosophy as per PHI standard.
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 Benefit claims &ndash; Well versed with processing of Benefit claims, Creating SOP, Pay-out framework to Nominee/Legal heir.
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 Collaborate with FWA Manager to provide inputs from agencies for efficient Fraud restriction and necessary checks and balances in system.
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 Re-UW opinion for non-disclosure cases &ndash; Training to Team for indicated cases for Re-UW referral, tracking and corrective action basis UW decision.
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 Extend support to the sales/distribution &ndash; Separate prioritization que for green channel, Specific Agent, Broker.
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 Set up and create robust governance to manage TPA process with great efficiency.
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 Proficient with medical terms &amp; systems (including ICD/CPT/PCS codes).
 
 
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 </ul>
 
 You could be the right candidate if you&hellip;
 
 
 
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 Are a doctor by training (/BAMS/BHMS/BDS)
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 Have 03-05 years&rsquo; experience of health Insurance claim processing management with at least 1-2 years&rsquo; experience as team leader managing and holding responsibility daily claim flow.
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 Understands the TPA ecosystem and has experience of managing TPA model (Preferred)
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 Have startup experience or setting up a team from scratch (Preferred but not mandatory)
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 Should be a decisive &amp; creative individual.
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 Should be able to make quick decisions and have good judgment and analytical skills
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 Have an excellent verbal and written communication skills and strong negotiation skills.
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 Always open to embracing change and be able to manage it
 
 
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 </ul>
 
 This could be the gig for you if you&hellip;
 
 
 
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 Are passionate about consumer behaviour and culture; enjoy spending time with customers to understand what they really want. Have an attentive ear listen to new ideas.
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 Like to work in a culture where everyone can see what others are doing
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 Take help from others when stuck and encourage others when there are setbacks
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 Take full responsibility for your own output while thinking wing to wing across the organization; to solve for the customer
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 Have strong clinical knowledge and clinical decision-making skills
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 Have built best in class processes from a scratch.
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 Are passionate about leveraging digital tools to transform customer experience What can make you extra special.
 
 
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 </ul>
 
 What Can Make You Extra Special
 
 
 
 <ul>
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 It&rsquo;s a great if you have already read books like Blue Ocean strategy &amp; Zero to One. Before you saw them mentioned here.
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 You have real stories to tell about how your team, and you challenged convention and took the path less travelled.
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 We are keen to listen to your story; doesn&rsquo;t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly.
 
 
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 Location: Mumbai
 
 
 
 
 Prudential is an equal opportunity employer.
 
 We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.
</div>

PHI - Assistant Manager- Claims Management

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10000 claims team leader jobs Near Me

Claims Processing Team Leader

Auto Damage Supervisor, Total Loss

PHI - Assistant Manager- Claims Management

Auto Damage Supervisor, Total Loss

Auto Damage Supervisor, Total Loss

Auto Damage Supervisor, Total Loss

Auto Damage Supervisor, Total Loss