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CA - Team Lead, Claims - Workers Compensation

Pie Insurance - Remote - Remote - posted 2026-10-13

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Salary: USD 110,000 - 135,000 / annual

Pie Insurance is seeking a Team Lead for Claims to lead a team of Adjusters and Specialists in the workers' compensation space. This is a people-management role reporting to the Claims Manager, responsible for overseeing claim activities, providing technical and jurisdictional direction on claims adjudication, and ensuring optimal claim outcomes and customer experiences. Key Responsibilities: Claims Technical Oversight: Review and approve claim denials, payments, settlements, trials, and reserve requests. Perform claim audits to ensure consistency, accuracy, and compliance with statutory/regulatory requirements and internal procedures. Ensure reserves are adequately set for probable claim outcomes. Conduct regular file reviews and provide feedback and recommendations. Operational Management: Resolve escalated complaints from agents, brokers, and policyholders. Identify problematic trends and develop corrective processes. Execute additional project assignments as directed. People Management: Lead and develop a team of adjusters, ensuring quality, accuracy, and timely resolution of claims including high-exposure and complex cases. Oversee all claim activity and monitor workflows, processes, metrics, triage, and caseloads. Promote department goals and customer service excellence. Hire and develop adjusters by identifying growth opportunities and strengthening skills. Pie Insurance leverages technology to transform how small businesses buy and experience commercial insurance, with a mission to make coverage affordable and accessible. The company is fast-growing and values builders, dreamers, and entrepreneurs guided by core values and operating principles. Requirements: - 2+ years of claims adjusting experience at a senior level - California workers' compensation claims experience required; additional experience in AZ, NM, NV, OR, or UT is a plus - Comprehensive knowledge of workers' compensation in multiple states, general insurance policy coverage, and relevant state case law - Advanced written, verbal, and presentation communication skills to deliver complex information effectively - Advanced problem-solving skills to manage complex, multi-layered situations and anticipate future needs - Intermediate awareness of how individual tasks impact team and deliverables - Advanced leadership skills focused on direct report growth and development - Proficiency with G-Suite tools, collaboration platforms, and Microsoft Office suite - High school diploma or GED required; Bachelor's degree preferred

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