LTD Claims Manager

Date: May 21, 2019

Location: Omaha, NE, US

Company: Lincoln Financial

Alternate Locations: Omaha, NE (Nebraska)

Relocation assistance is not available for this opportunity.

Requisition #59565

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.

 

GENERAL PURPOSE OF JOB

 

This position will manage a team and processes for his/her assigned claims area(s) of responsibility. S/he will oversee and ensure the fair, ethical and timely management of more complex claims for his/her assigned area(s) of responsibility.

 

DUTIES AND RESPONSIBILITIES

    • 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 and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
    • Establishes and implements individual and team priorities, performance goals and objectives to ensure completion of responsibility for his/her assigned area(s) of responsibility.
    • Provides training and development opportunities, including stretch assignments, for team members and gives honest and open feedback to aid in the development of talent.
    • Manages and evaluates individual/team performance and takes appropriate action to meet and/or exceed performance standards for assigned area(s) of responsibility.
    • Identifies and recommends process improvements that significantly reduce workloads or improve quality across for his/her assigned area(s) of responsibility.
    • Serves as a resource to team members and internal/external stakeholders on more complex assignments/projects for his/her assigned area(s) of responsibility.
    • Manages assigned area(s) of responsibility to ensure workloads are appropriately balanced among team members.
    • Ensures that top talent is hired and retained for his/her assigned area(s) of responsibility.
    • Builds organizational capability within his/her assigned area(s) of responsibility.
    • Manages a team and processes for his/her assigned area(s) of responsibility.
    • Manages the processing and administration of all aspects of more complex claims for his/her assigned area(s) of responsibility ensuring accurate and timely claim management.
    • Approves and makes more complex claim management related financial decisions consistent with company guidelines for assigned area(s) of responsibility.
    • Provides more complex technical guidance to claim team members on claims adjudication for assigned area(s) of responsibility.
    • Reviews and resolves more complex escalated issues and concerns for assigned area(s) of responsibilities.
    • Identifies and communicates claims trends and issues to management.  Develops mitigation plans.
    • Ensures all assigned area(s) of responsibility claims, eligible or ineligible for payment, conform to quality, production standards and specifications.
    • Collaborates with sales offices to ensure effective service delivery of claims for assigned area(s) of responsibility.
    • Reviews regular quality audits of for assigned area(s) of responsibility claim team members work, analyzes results and counsels staff to bring work to or above standards.
    • Identifies process inefficiencies and cost reductions. Develops and recommends mitigation plans.
    • Ensures claims processing is consistent with applicable policies, procedures and department guidelines for assigned area(s) of responsibility.
    • 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 for assigned area(s) of responsibility.
    • Monitors and evaluates overall metrics for team productivity and takes appropriate action to meet or exceed standards
    • Completes regular quality audits of assigned area(s) of responsibility claim/team members' work; records results and counsels staff to bring work to or above standards.

 

EDUCATION AND EXPERIENCE

    • 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) in Insurance (Minimum Required)
    • 5+ Years of experience in Claims that directly aligns with the specific responsibilities for this position, including 2+ years of managerial, supervisory, and/or demonstrated leadership experience (Required)

 

TRAVEL REQUIREMENTS

    • Travel Type: National Domestic
    • Travel Amount: up to 10%

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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Nearest Major Market: Omaha
Nearest Secondary Market: Council Bluffs

Job Segment: Claims, Manager, Marketing Manager, Change Management, Insurance, Management, Marketing