OneAmerica Financial Partners Inc

Manager STD Claims

Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Four-year degree or equivalent work experience.
  • Minimum 5 years managing disability claims preferred.
  • Prior managerial experience required.
  • Preferred designations include ICA, HIA, LOMA, FLMI, CEBS.

Responsibilities

  • Adhere to documented workflow guidelines and procedures.
  • Review claims to ensure consistent quality handling.
  • Manage and track Insurance Department complaints.
  • Participate in claims approval and denial reviews.
  • Conduct monthly one-on-one meetings with claims staff.
  • Perform timely assessments and performance reviews of team members.
  • Monitor team performance and training needs.

Benefits

  • Medical, dental, and vision insurance.
  • Health Savings Accounts & Flexible Spending Accounts.
  • Paid Time Off.
  • 10 weeks 100% paid parental leave after 12 months of service.
  • 401(k) Plan with company match.
  • Pension Plan.
  • Wellness Program & employee assistance program.
Full Job Description
The Manager, STD Claims is responsible for contributing to the overall success of OneAmerica's objectives by providing timely and accurate support to our policy holders and the Claims department. This role will focus on meeting all key financial business objectives and enhance customer service levels for assigned team. The Manager, Short-Term Disability Claims will focus on effectively managing the performance of all individuals to achieve optimal productivity and strive for quality through accurate and timely claim decisions This individual will also maintain clear and ongoing communications with other business partners, inside and outside of claim department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc. The purpose of the Manager, Short-Term Disability Claims is to provide leadership and coaching to claims staff and maintain a positive impact on employee staffing and retention levels by participating in recruiting, hiring and retention strategies. KEY RESPONSIBILITIES: - Consistently adhered to the documented workflow guidelines and established procedures. - Assured consistent, quality claims handling by review of pending claim, diary and Change of Definition reports. - Responds to and tracks all Insurance Department complaints. - Actively participates in review of claims for approvals/denials. - Conducts one-on-one meetings with all claims staff on a monthly basis. - Conducts timely, accurate performance assessments for all team members. Such assessments include a 6-month interim as well as an annual performance review. - Partners with Supervisors in mentoring all staff to acceptable proficiency levels. - Personally documents and addresses all performance management issues and communicates those to the Director of Claims. - Interfaces weekly with Supervisor to remain abreast of team member performance and on-going training needs. - Monitors caseloads to maintain consistency within team. - Analyzes claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc. - Supports/develops supervisors' technical and mentoring capabilities. - Ensures the Team provides excellent customer service by appropriately adjudicating claims within established service protocols. - Responds to and documents customer complaints from claimants/their representative, clients and policyholders - Ensures quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings. - Participates in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims. - Reaches or exceeds approved quality rating requirements. - Displays a high level of leadership through employee development, coaching and performance management. - Strives to timely utilization of appropriate resources across the benefits organization. - Participates in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims. REQUIREMENTS: - Four-year college degree or a combination of equivalent related work experience and education. - A minimum of 5 years of experience managing disability claims strongly preferred. - Prior managerial experience required. - Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc. #LI-SC1 Salary Band: 06B This selected candidate will be expected to work hybrid in Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team building and collaboration. We offer a comprehensive total rewards package designed to support you both at work and at home. Full-time and part-time associates working 30 or more hours per week are generally eligible for benefits, including but not limited to: - Medical & prescription, dental, vision insurance - Health Savings Account & Flexible Spending Accounts - Paid Time Off - 10 weeks 100% paid parental leave (after completing 12 months of employment) - 401(k) Plan with company match - Pension Plan - Company paid life & disability insurance - Wellness Program & Company paid employee assistance program - Clinic access subject to location* (*Indianapolis, Charlotte, Cincinnati) If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

About OneAmerica Financial Partners Inc

OneAmerica is a financial services company that provides a range of insurance and retirement products. The company offers life insurance, long-term care insurance, annuities, and retirement plans. OneAmerica has been in business for over 140 years and has a strong reputation for financial strength and stability. The company is committed to helping individuals and businesses achieve financial security and has a strong focus on customer service.
Learn more about OneAmerica Financial Partners Inc
Size
2,000 employees
Industry

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