Director, LTD Claims
Lincoln Financial Group
- Omaha, NE
- $90,300-164,700 per year
- Permanent
- Full-time
- 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
- 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)