Long Term Disability Technical Specialist II

Date: Oct 14, 2021

Location: Dover, NH, US

Company: Lincoln Financial

Alternate Locations: Atlanta, GA (Georgia); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

 

Work Arrangement: Hybrid/Home

 

Relocation assistance is not available for this opportunity.

 

Level: P2 

 

Requisition #: 67148

 

About The Company
 

Lincoln Financial Group, a Fortune 250 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas — Life Insurance, Annuities, Retirement Plan Services and Group Protection — focus on supporting, preserving and enhancing over 17 million customer’s lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $238 billion in assets under management as of December 31, 2018.

Ranked one of the Best Large Employers in America by Forbes magazine, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

 

Be Aware of Fraudulent Recruiting Activities

 

If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

 

Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview.  Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.

 

 

 

General Purpose of Job

This position will perform and deliver on Claims assignments/projects while simultaneously leveraging and applying knowledge of their assigned area(s). They will analyze and manage a caseload of assigned claims. They will review, investigate, and make claim determinations regarding coverage, compensability, and appropriateness of claims. They will provide technical information and detailed guidance to Claims management and teams regarding products, claims processes, regulations, and applicable systems for their assigned area.

Duties and Responsibilities

Acts as a role model, mentoring others to build & leverage claims knowledge & relationships to enhance claims management and internal/external customer experience.
Analyzes & processes claims by investigating & obtaining a wide range of complex information. Applies claims policies & procedures and engages intervention of internal/external resources to ensure fair, ethical, & timely management of assigned claims
Analyzes and interprets complex coverage contracts to determine if eligibility is met.
Contributes to development of and/or changes to processes/procedures; provides feedback on process documentation to promote Claims teams understanding and effective application of new/revised processes.
Effectively manages time and desk organization; coaches others on techniques and systems for organizing/prioritizing work and staying current on caseload.
Effectively utilizes and implements policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims workflow. Provides detailed guidance & coaching to junior team members.
Identifies and communicates to management process improvements that reduce workloads or improve quality for his/her assigned area(s) of responsibility.
Identifies and resolves gaps in financial calculations and offsets when applicable, shares technical knowledge and approach on financial calculations with team members.
Interprets calculations correctly involving complex contract provisions and works with applicable resources as needed to resolve issues.
Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
Manages a caseload of complex claims that cover a variety of eligibility types, policy provisions, and/or multiple diagnoses and claim factors.
Participates on departmental projects and/or leads project workstreams as needed.
Performs and delivers on routine assignments/projects while simultaneously leveraging and applying knowledge of their assigned area(s) of responsibility.
Promotes and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
Provides customers with in-depth explanations of policy details, claim process, and claim determination; ensures parties understand the information and outcome.
Provides input on potential impact of proposed processes on current operational approach as well as compatibility with applicable system(s).
Researches questions and escalations from Claims team; liaises with various stakeholders from across the business (Underwriting, Actuarial, Compliance, Account Management, etc.) to obtain needed information to clarify and address issues.
Understands and reinforces to junior team members the importance of correct and accurate eligibility decisions and benefit calculations.
Utilizes internal reporting to identify trends and review/audit performance against team metrics; proposes and develops practices & processes to improve performance and the customer experience.
Utilizes judgment and knowledge of claims management to make decisions based on information available at the time of decision.

Additional Position Responsibilities

Carries out duties in compliance with all state and federal regulations and guidelines. Complies with all company and site policies and procedures.
Makes a positive contribution as demonstrated by: - Making suggestions for improvement - Learning new skills, procedures and processes
Performs other duties as required.
Remains current in profession and industry trends.

Other Skills and Abilities

Ability to perform under stress in cases of emergency, critical or hazardous situations.
Ability to work with others in a team environment.
Demonstrated solid relationship management skills with internal clients (e.g. management, peers and colleagues).
Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
Demonstrates solid project management skills including, critical ability to coordinate and balance multiple projects in a time-sensitive environment, under pressure, and meeting deadlines.
Demonstrates strong interpersonal skills with a collaborative style.
Demonstrates the ability to use sound judgment and discretion regarding confidential information.
Finds common ground and can gain collaboration among management, colleagues and peers; can influence outcomes without directing or commanding.
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
Successfully completes regulatory and job training requirements.

Education

4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) - Minimum Required

Certifications

Experience

1 - 3+ Years Experience in claims that directly aligns with the specific responsibilities for this position (Required )

 

Work Arrangement:

Hybrid/Home : Employees will work from home generally three days each week and come into a Lincoln office on a schedule their manager will help set, following any applicable in-office training period determined by their manager. 

 

 

This position may be subject to Lincoln’s Political Contribution Policy.  An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

 

Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

 

 

Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information.  Applicants are evaluated on the basis of job qualifications.  If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

 

 

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