LTD Claims Manager

Lincoln National Corporation   •  

Dover, NH

Industry: Finance & Insurance

  •  

5 - 7 years

Posted 31 days ago

This job is no longer available.


The Role

This position will manage a team and processes for his/her assigned claims area(s) of responsibility. S/he will oversee and ensure the fair, ethical and timely management of more complex claims for his/her assigned area(s) of responsibility.As the manager of this team, the ideal candidate will be someone who, while possessing strong leadership skills, also navigates and manages change very well. The department is going through a transformation this year that will shift how they look at and manage permanent disability claims. This team will be responsible for managing claims, based on complexity and risk, to the appropriate durations via a tiered team structure. The ideal candidate will need to be able to help his/her team navigate through these changes effectively while focusing on driving business results.

Responsibilities

  • Approves and makes more complex claim management related financial decisions consistent with company guidelines for 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.
  • Collaborates with sales offices to ensure effective service delivery of claims for assigned area(s) of responsibility.
  • Completes regular quality audits of assigned area(s) of responsibility claim/team members' work; records results and counsels staff to bring work to or above standards.
  • Develops and maintains close customer ties, articulates customer needs, keeps priorities in focus with the desires and expectations of the customer.
  • 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.
  • Identifies and communicates claims trends and issues to management. Develops mitigation plans.
  • Identifies process inefficiencies and cost reductions. Develops and recommends mitigation plans.
  • Manages the processing and administration of all aspects of more complex claims for his/her assigned area(s) of responsibility ensuring accurate and timely claim management.
  • Monitors and evaluates overall metrics for team productivity and takes appropriate action to meet or exceed standards.
  • Provides more complex technical guidance to claim team members on claims adjudication for assigned area(s) of responsibility.
  • Reviews and resolves more complex escalated issues and concerns for assigned area(s) of responsibilities.
  • Reviews regular quality audits of for assigned area(s) of responsibility claim team members work, analyzes results and counsels staff to bring work to or above standards.

Education & Experience

  • 5+ Years of experience in { Claims that directly aligns with the specific responsibilities for this position, including 2+ years of managerial, supervisory, and/or demonstrated leadership experience (Required)
  • 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's)in Insurance (Minimum Required)

Certifications

"There is no Certification or Licensure Listed"

Travel Information

  • Travel Type : National Domestic
  • Travel Amount : up to 5%

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