Group Insurance Team Lead, Claims

Job Description:

  • Lead the team to achieve customer service and claims management excellence.
  • Ensure accuracy of benefits paid on disability claims based on the deductible sources of income (offsets) and other contractual provisions outlined within the certificates.
  • Monitor, track and analyze reporting to ensure appropriate offset management of claims.
  • Develop effective action plans that result in improved team and individual performance.
  • Build and maintain internal and external customer relationships.
  • Provide direct reports with ongoing support, appropriate training, positive/constructive feedback, coaching and recognition in an inclusive manner.
  • Drive employee engagement and continuous process improvement to remove barriers and enhance team effectiveness.
  • Provide for business continuity by identifying potential successors and emerging leaders for the key leadership positions on your teams.
  • Ensure team is in compliance with their obligations regarding risk identification, risk assessment and risk monitoring, control, and escalation.

Requirements:

  • Minimum of three years in a Group Insurance Operations or claims experience required.
  • A proven understanding of STD/Absence/Paid Leave claim management processes and offset management required.
  • Strong critical thinking, mathematical, problem solving, decision making, and analytical skills required.
  • Detail oriented with solid interpersonal skills.
  • Proven strong Customer Service skills.
  • Prior coaching, mentorship or leadership skills is a must.
  • Ability to problem solve independently.
  • Proven focus on continuous improvement.
  • Ability to collaborate across business.
  • Strong communication (verbal and written) and time management skills required.
  • Proficiency in Teams, MS Word, and Excel.

Benefits:

  • Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO)
  • 401(k) plan with company match (up to 4%)
  • Company-funded pension plan
  • Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
  • Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
  • Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs
  • Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.
  • Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance.
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