Paid Leave Claim Manager – Employee Benefits

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $68k - $140k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Protective Life

Protective Life

1001 - 5000 employees

Founded 1908

💸 Finance

🛡️ Insurance

Finance • Insurance

Protective Life is a financial services company specializing in providing affordable life insurance and annuities. The company offers a variety of insurance products such as term life, whole life, and universal life policies, as well as fixed, immediate, indexed, and variable annuities. Protective Life assists individuals in planning for their future, including retirement, estate planning, and financial protection for families. The company emphasizes its commitment to sustainability, community involvement, and helping customers achieve protection and security throughout various life stages. Protective Life is known for its strong financial foundation and is licensed to operate in all states except New York.

📋 Description

• Supervise and advise claims examiners throughout the adjudication process • Schedule, assign and oversee claim examiner workloads • Monitor team output for consistent processes, regulatory compliance and service standards • Ensure production goals and quality standards are met or exceeded • Resolve complex issues and serve as a subject matter expert for special-handling claims • Consult with managers and SMEs on escalated or unique claim issues • Provide management feedback on workflow, priorities and production problems • Recommend and implement policy, programmatic and business-process changes • Report team activities to management verbally and in writing • Promote prompt, accurate and courteous service to internal and external customers • Participate in projects and departmental assignments • Initiate and verify daily check reports; process stop payments, voids, overpayments and liens • Interview, select and train claims-processing staff • Coach, mentor and provide performance guidance to examiners • Identify and lead training and staff-development initiatives • Conduct timely, constructive performance evaluations • Establish and implement corrective action plans • Assume delegated Manager responsibilities when the Manager is unavailable

🎯 Requirements

• Bachelor’s degree and two (2) years experience as a Claims Examiner is preferred. • Prior experience in supervising, mentoring, training and/or leading others is preferred. • Ability to organize time, set priorities, and manage workload. • Knowledge of disability adjudication principles, methods, procedures and current business practices • Demonstrated ability and willingness to give candid and meaningful feedback • Knowledge of current federal and state laws pertaining to leaves of absence • Knowledge of medical terminology • Being Responsible and Reliable is a must • Ability to adapt to change • Excellent supervisory skills – teaching, coaching, mentoring and leading others. • Excellent interpersonal skills and ability to build effective working relationships with a variety of constituencies • Professional verbal and written communication skills • Independent problem-solving skills - ability to analyze, interpret and apply rules and regulations of considerable complexity • Ability to work in a fast pace environment • Proficient in Microsoft Office (i.e. Word, Excel). • Represent the ShelterPoint brand with the utmost professionalism

🏖️ Benefits

• Comprehensive health, dental and vision insurance • Mental health benefits • Employee assistance program • Paid time off • Paid parental leave • Short-term disability • Cultural observance day • Contributions to healthcare accounts • Pension plan • 401(k) plan with Company matching • ProHealth Rewards platform with cash rewards • Annual incentive based on individual and Company performance

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