Team Lead Claims Review
APTIM.com
66k - 80k USD/year
Office
Santa Fe, NM, United States
Full Time
Job Overview:
The Team Lead -- Claims Review is responsible for supervising a multidisciplinary team of claims reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program requirements. This role serves as the primary point of escalation and quality assurance for assigned claims, supporting continuous training, technical accuracy, and exceptional customer service.
Key Responsibilities/Accountabilities:
- Supervise day-to-day work of claims reviewers and technical staff, ensuring timely claim assignments and balanced workload distribution
- Interpret and apply federal regulations, policy guidance, and claims procedures to ensure compliance
- Monitor the accuracy and quality of claims reviews, flag inconsistencies, and enforce corrective actions where necessary
- Provide coaching, feedback, and refresher training to ensure team proficiency in claims systems and regulations
- Coordinate with SMEs, site inspectors, and government stakeholders to resolve technical or policy-based claim issues
- Maintain organized tracking and reporting of team progress, deliverables, and escalated matters
- Serve as the escalation point for claimants and internal staff, helping resolve conflicts, documentation issues, and compensation determinations
- Support the quality control process by collaborating with QC personnel on rework and compliance issues
- Participate in system of record input, document uploads, and workflow management
- Provide technical advisement to team members and ensure adherence to program training and data integrity requirements
- Positively and professionally represent the Claims Office in all claimant and FEMA-facing interactions
Basic Qualifications:
- High School Diploma required
- Associate or Bachelor's degree preferred
- Formal training in supervision, emergency management, or project coordination preferred
- A minimum of ten (10) years of combined experience in claims/case processing roles including customer service, data entry, reviewing, and evaluating disaster-related losses
- At least three (3) years in a supervisory or team leadership capacity
- Prior FEMA or federally supported disaster assistance program experience is highly preferred
- Ability to understand and interpret complex federal policy language, including relevant statutes, regulations, policies, and program guidance
- Disaster-related knowledge and background to accurately assess losses, damages, repairs, and replacement costs
- Strong interpersonal and written communication skills; able to explain regulations and compensation to claimants, FEMA staff, and internal teams
- Proficiency in claims management systems, Microsoft Office Suite, and valuation/documentation tools used in claims workflows
- Ability to manage team performance using effective communication; assess workload and delegate; accordingly, provide mentorship and technical guidance; resolve and escalate personnel and process issues
- Skilled at identifying gaps in performance, providing feedback, and supporting training initiatives
ABOUT APTIM
APTIM is committed to accelerating the transition toward a clean and efficient energy economy, building a sustainable future for our communities and natural world, and creating a more inclusive and equitable environment that celebrates the diversity of our communities. We specialize in environmental, resilience, and sustainability and energy solutions, as well as technical and data solutions, program management, and critical infrastructure. For every challenge our clients face, there is an opportunity for APTIM to innovate a fit-for-purpose solution that will raise your organization or community to a new standard of excellence.
What you can expect from APTIM:
- Work that is worthy of your time and talent
- Respect and flexibility to live a full life at work and at home
- Dogged determination to deliver for our clients and communities
- A voice in making our company better
- Investment into your personal and professional development
As of the date of this posting, a good faith estimate of the current pay range for this position is $33.00 to $40.00 per hour. Compensation depends on several factors including experience, education, key skills, geographic location of the position, client requirements, external market competitiveness, and internal equity among other employees within APTIM.
Employee Benefits
Aptim Environmental & Infrastructure, LLC is committed to providing an extensive range of benefits that protect and promote the health and financial well-being of our employees and their families through the APTIM Benefits Marketplace https://aptim.makeityoursource.com/.
- Medical, vision, and dental insurance: Through the marketplace, our employees can choose benefits from five metallic levels and 10+ carriers to find the right benefits that work for them in their location.
- Life insurance
- Short-term and long-term disability insurance
- 401(k) APTIM offers three 401k plans through the Aon Pooled Employer Plan (PEP). The specific plan you are eligible for depends on the business unit you are in. The details of the largest plan are found here: APTIM 2025 401(k) Plan Features (makeityoursource.com)
- APTIM - Helpful Documents
- APTIM 2025 401(k) Plan Features
- Paid holidays, vacation, and sick leave (eligibility based on company policy and applicable law)
- Watch our video:
- About APTIM - In Pursuit of Better
Team Lead Claims Review
Office
Santa Fe, NM, United States
Full Time
66k - 80k USD/year
October 1, 2025