Director, Long Term Disability Claims at Lincoln National Corporation in Omaha, NE

General Purpose of Job

This position will provide leadership and direction to ensure group results for his/her assigned claims area(s) of responsibility. S/he will oversee and ensure the fair, ethical and timely management of complex claims for his/her assigned area(s) of responsibility.

Duties and Responsibilities

• Approves and makes complex claim management related financial decisions consistent with company guidelines for assigned area(s) of responsibility.
• Builds organizational capability within his/her assigned area(s) of responsibility.
• Collaborates with internal and/or external stakeholders to ensure effective service delivery of more complex claims for assigned area(s) of responsibility.
• Develops and executes claim initiatives which have substantial impact on the success of claims handling, enhance the customer experience and successfully meet the annual business operating priorities.
• Develops and maintains close customer ties, articulates customer needs, keeps priorities in focus with the desires and expectations of the customer.
• Develops, maintains and analyzes appropriate metrics and control mechanisms for claims including using data and analysis to improve business results by targeting opportunities and process improvements within claims.
• Develops, manages and oversees the budget for his/her assigned area(s) of responsibility
• Directs and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
• Directs and evaluates individual/team performance and takes appropriate action to meet and/or exceed performance standards for assigned area(s) of responsibility.
• Directs and provides leadership to continually improve the capability and results for his/her assigned area(s) of responsibility.
• Directs the processing and administration of all aspects of complex claims for his/her assigned area(s) of responsibility ensuring accurate and timely claim management.
• Ensures all assigned area(s) of responsibility claims eligible or ineligible for payment conform to quality, production standards and specifications.
• Ensures claims processing is consistent with applicable policies, procedures and department guidelines for assigned area(s) of responsibility.
• Ensures regular quality audits of for assigned area(s) of responsibility claim team members work.
• Ensures that top talent is hired and retained for his/her assigned area(s) of responsibility.
• Establishes and implements priorities, performance goals and objectives to ensure group results for his/her assigned area(s) of responsibility.
• Identifies and directs the implementation of process improvements that significantly reduce workloads or improve quality across the department for his/her assigned area(s) of responsibility.
• Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
• Monitors and assesses trends in claims, identifies opportunities, and implements industry leading, best practices to enhance the customer experience and improve claim management effectiveness.
• Monitors and implements claims policy and guidelines in compliance with claim objectives and insurance laws and regulations.
• Provides subject matter expertise and technical guidance to claim team members on claims adjudication for assigned area(s) of responsibility.
• Provides subject matter expertise to team members and internal/external stakeholders on complex assignments/projects for his/her assigned area(s) of responsibility.
• Provides training and development opportunities, including stretch assignments, for team members and gives honest and open feedback to aid in the development of talent.
• Reviews and resolves complex escalated issues and concerns for assigned area(s) of responsibilities.

Education

• 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) - Minimum Required

Experience

• 7+ Years of experience years in Claims that directly aligns with the specific responsibilities for this position, including 3+ years of managerial, supervisory, and/or demonstrated leadership experience (Required )