Director, LTD 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 #: 73066

 

The Role at a Glance

This position will provide leadership and direction to ensure group results for LTD Risk.  You will oversee and ensure the fair, ethical and timely management of complex claims.

What you'll be doing

• Maintains knowledge on current and emerging developments/trends, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
• Directs and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives.
• Identifies and directs the implementation of process improvements that significantly reduce workloads or improve quality across the department.
• 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.
• Directs and evaluates individual/team performance and takes appropriate action to meet and/or exceed performance standards.
• Establishes and implements priorities, performance goals and objectives to ensure group results.
• Directs and provides leadership to continually improve the capability and results.
• Ensures that top talent is hired and retained.
• Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management.
• 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.
• 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.
• 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.
• Approves and makes complex claim management related financial decisions consistent with company guidelines.
• Provides subject matter expertise and technical guidance to claim team members on claims adjudication.
• Reviews and resolves complex escalated issues and concerns.
• Ensures all LTD claims are eligible or ineligible for payment conform to quality, production standards and specifications.
• Ensures claims processing is consistent with applicable policies, procedures and department guidelines.
• Develops and maintains close customer ties, articulates customer needs, keeps priorities in focus with the desires and expectations of the customer.
• Collaborates with internal and/or external stakeholders to ensure effective service delivery of more complex claims.
• Ensures regular quality audits for claim team members work.
• Ensures all settlement decisions are accurate and fair.
• Develops, manages and oversees the budget for LTD

What we’re looking for

• 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) (Minimum Required)
• 7+ Years of experience years in Claims, with the majority being aligned to LTD claims 
• 3+ years of managerial, supervisory, and/or demonstrated leadership experience (Required)

 

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 empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

 

What’s in it for YOU:

• Clearly defined career tracks and levels to help you successfully manage your career

• Leadership development and virtual training opportunities

• PTO/parental leave

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  Lincoln Financial

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