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The Claims Team Lead is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports. The Team Lead will report to and work directly with the Claims Manager to achieve team and departmental goals. The Team Lead will need to be able and pivot quickly in a fast growing company and department.
How You’ll Do ItClaims Technical Oversight:
- Review and approve claim denials, payments, settlements, trials, and reserve requests.
- Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations.
- Ensure reserves are adequately set for the ultimate probable outcome of the claim
- Perform regular leader reviews and provide feedback and recommendations for individual claims files.
Operational Management:
- Resolve escalated agent, broker, policyholder complaints and/or concerns.
- Identify trends that could be problematic and take steps to develop processes to correct.
- Additional project assignments at manager's discretion.
People Management:
- Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases. Oversee of all claim activity.
- Promote department goals and objectives to the team of Adjusters and Specialists.
- Monitor workflows, claims processes, claim metrics, claim triage and caseloads
- Build and promote customer service excellence.
- Hire and develop adjusters by identifying opportunities to grow and strengthen new skills.
- 2+ years of adjusting claims at a senior level.
- California workers’ compensation claims experience is required. Additional experience in AZ, NM, NV, OR, or UT is a plus.
- Comprehensive knowledge of workers compensation in multiple states along with general insurance policy coverage and the state case Laws.
- Advanced communication (written, verbal and presentation) skills, to deliver complex information effectively and align people with the needs of the project/team.
- Advanced problem solving skills, to be able to manage complex situations with multiple layers, and resolve to solution anticipating needs now and into the future.
- Intermediate awareness of your own tasks, and how it impacts the team and deliverables
- Advanced leadership skills, focusing on the growth and development of direct reports.
- G-Suite Tools, Collaboration tools, Microsoft Office suite.
- High School diploma or GED required, Bachelor's Degree preferred.
The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.
- Competitive cash compensation
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our core values are more than just a poster on the wall; they’re tangibly reflected in our work
Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.
Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.
Location InformationUnless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.
Additional InformationPie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.
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Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.
Pie Named to 2025 America's Best Startup Employers
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Skills Required
- 2+ years of senior-level claims adjusting experience
- California workers’ compensation claims experience
- Workers’ compensation experience in multiple states and knowledge of general insurance policy coverage and state case law
- Advanced written, verbal, and presentation communication skills
- Advanced problem-solving skills for complex situations
- Advanced leadership skills focused on direct-report development
- Intermediate awareness of individual tasks and their impact on team deliverables
- Proficiency with G Suite, collaboration tools, and Microsoft Office
- High school diploma or GED
- Bachelor’s degree
- Claims experience in Arizona, New Mexico, Nevada, Oregon, or Utah
What the Team is Saying
Pie Insurance Compensation & Benefits Highlights
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Healthcare Strength — Employer-paid medical, dental, and vision premiums for full-time employees are highlighted, with only a portion charged for spouses and dependents. Feedback suggests this level of coverage is a core strength of the package.
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Parental & Family Support — Parental leave at 100% pay for the first three months plus a structured return-to-work plan, along with dedicated caregiver leave, are repeatedly called out. These features indicate robust support for families through major life events.
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Leave & Time Off Breadth — Generous or flexible PTO is emphasized, with some roles described as having open/unlimited vacation alongside paid holidays and volunteer time. Feedback suggests time-off flexibility is a notable benefit, though usage can vary by team.
Pie Insurance Insights
What We Do
Pie is transforming small business insurance. Our team of seasoned technology and insurance experts are on a mission to empower small businesses to thrive by making insurance affordable and as easy as pie.
Why Work With Us
Our team of seasoned technology and insurance experts is on a mission to make insurance less expensive, simpler, and more transparent for small business owners. In the process, we’re creating a workplace where people thrive and ideas become actions.
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Employees work remotely.
As a fully remote company, Pie supports our Pie-oneers in working in a U.S. location that’s best for them.
