Team Leader

• Provide administrative supervision to START Clinical Coordinators and provide daily clinical triage support.
• Maintain linkages and relationships with community partners.
• Collaborate with program director to develop positive relationships with system partners, provider systems, families, and/or caregivers.
• Serve as a positive representative for the START program with stakeholders.
• Coordinate training for START Clinical Coordinators with community specialists.
• Participate in referral reviews for enrollment and Triage meetings with the team.
• Collaborate to monitor quality of START service delivery and ensure proper documentation is completed.
• Develop cross-systems crisis plans and intervention outcomes.

Clinical Team Leader overseeing START Clinical Coordinators in Pittsburgh, Pennsylvania

Clinical Team Leader

Clinical Team Leader for START program supervising Clinical Coordinators in Pittsburgh, Pennsylvania. Required experience with ID/A and behavioral health services along with administrative responsibilities.

• Under the oversight of the Area Manager, the Claims Examiner III – Team Leader reports to the Claim Supervisor and/or Area Manager and is responsible for managing all aspects of Auto Liability and PIP/No-Fault claims from inception through resolution
• Provides day-to-day guidance and technical support to Claims Examiners, ensuring consistency, quality, and adherence to best practices
• Helps to establish procedures for American Arbitration Association to help reduce costs and improve process
• Investigates and conducts investigations in a timely manner for claims assigned
• Communicates with clients, claimants, providers, and vendors regarding claims issues
• Computes and sets reserves within Company guidelines
• Approves authority requests of direct reports for claims assigned and directs them to obtain authority as designated
• Settles and/or finalizes all claims assigned and obtains authority as designated
• Maintains diary system for case review and documents file to reflect the status and work being performed on the file assigned
• Communicates appropriate information promptly to the Area Manager and client to resolve claims efficiently

Team Leader managing Auto Liability and PIP/No-Fault claims for TRISTAR

Commercial Auto Liability, PIP/No Fault Team Leader

Team Leader managing Auto Liability and PIP/No-Fault claims for TRISTAR with oversight from Area Manager. Provides guidance and quality assurance to Claims Examiners while handling complex claims.

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Clinical Team Leader

Commercial Auto Liability, PIP/No Fault Team Leader