AVP, Long Term Disability Claims

Alternate Locations: Work from Home; Boston, MA (Massachusetts); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

 

 Work Arrangement:

Remote : Work at home employee residing outside of a commutable distance to an office location.

 

Relocation assistance:  is not available for this opportunity.

 

Requisition #: 72911

 

The Role at a Glance

This position provides leadership, direction & functional expertise to ensure departmental results within LTD Claims. You will contribute to developing strategies that have substantial impact on the success of claims handling & enhance the customer experience. In addition, you will oversee & ensure the fair, ethical & timely management of complex claims. In this position you will be accountable for driving consistent and reliable risk results through strategic action plans. 

What you'll be doing

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

What we’re looking for

Must-haves:  

• 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's)  
• 15+ years of Claims experience, with a portion of that in LTD
• 10+ years of managerial, supervisory, and/or demonstrated leadership experience including influencing senior management/critical stakeholders experience 

 

What’s it like to work here?

At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to