Paid Leave Claim Manager - Employee Benefits (Remote)
Posted
The work we do has an impact on millions of lives, and you can be a part of it.
We help protect our customers against life’s uncertainties. Regardless of where you work within the company, you’ll be helping provide protection and peace of mind when our customers need it most.
Job Summary:
Oversees the day to day operations of an assigned claims examining team/unit.
The incumbent will be responsible for supervising and advising claims examiners in all phases of the adjudication process and for the performance of each of the team’s members (e.g. team player, quantity, quality, etc.).
***This role will be titled Manager Claims within the organization.***
Responsibilities
- Supervises and advises claims examiners in all phases of the adjudication process.
- Schedules, assigns and oversees the work of their respective claim examiners. Quickly identifies and resolves workflow and caseload management challenges.
- Utilize knowledge to monitor the team’s output for: uniformity in the application of processes, compliant with regulations, and adheres to or exceeds departmental standards of service.
- Ensure team members achieve, and preferably exceed, ‘current’ departmental production goals and quality standards.
- Resolves issues above the skill set of the claim examiners (i.e. act as SME). Responsible for special handling policies/claims (i.e. white glove).
- Confers with manager and/or other SMEs to resolve escalated/unique claim related issues.
- Provides feedback to management on workflow, work priorities and production problems. Recommends changes. Works with other supervisors to develop policies and strategies to advance the work of the department.
- Implements required programmatic and business process changes/enhancements.
- Reporting to management on various activities of the team both verbally and in writing.
- Promotes a positive customer experience through prompt, accurate and courteous service to both internal and external customers.
- Contribute to positive work environment to ensure the achievement of departmental and corporate goals and objectives (outside of Claims).
- Participates in department’s various project work and assignments, as needed.
- Initiates production of daily check reports. Verifies that issued checks balance to control totals. Places stop payments and voids on all returned checks. Records all overpayments and liens, including phone follow-up.
- Participates in interviewing and selection of staff. Hires and trains staff involved in processing claims.
- Provides counsel, guidance and support to examiners regarding their performance, as measured by the performance standards of the department
- Identifies and leads in-service training and staff development needs. Provides ongoing coaching and mentoring.
- Conducts performance evaluations that are timely and constructive.
- Establish and implement corrective action plans, when necessary.
- Assumes delegated responsibilities when the Manager is unavailable for a material amount of time (i.e. out of office).
Qualifications/Education/Experience
- Represent the ShelterPoint brand with the utmost professionalism
- 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).
#LI-VD1
#IND123
Employee Benefits:
We aim to protect the wellbeing of our employees and their families with a broad benefits offering. In addition to offering comprehensive health, dental and vision insurance, we support emotional wellbeing through mental health benefits and an employee assistance program. Work/life balance is important and Protective offers a variety of paid time away benefits (e.g., paid time off, paid parental leave, short-term disability, and a cultural observance day). The financial health of our employees is just as important as physical and emotional health. Some of the financial wellbeing benefits include contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective’s platform to improve wellbeing while earning cash rewards.
Eligibility for certain benefits may vary by position in accordance with the terms of the Company’s benefit plans.
Accommodations for Applicants with a Disability:
If you require an accommodation to complete the application and recruitment process due to a disability, please email eric.hess@protective.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application and recruitment process.
Please note that the above email is solely for individuals with disabilities requesting an accommodation. General employment questions should not be sent through this process.
We are proud to be an equal opportunity employer committed to being inclusive and attracting, retaining, and growing an inclusive workforce.
As published by lever · 18 questions · 1 written answer
Basics
Resume/CV, Full name, Email, Phone, Current location, Current company, LinkedIn URL, GitHub URL, Portfolio/video resume URL, Other website
Short answers (6)
- What is your target compensation (salary and bonus)?
- Where do you reside (city & state)?
- How many years of disability, leave of absence, statutory benefit, or claims adjudication experience do you have?
- How many employees have you directly supervised at one time?
- Describe your experience handling escalated, complex, or high-touch claims.
- What metrics were you responsible for managing in your current or most recent claims leadership role (quality, productivity, turnaround time, service levels, etc.)?
Pick from a list (11)
- Do you have a distraction free workspace and consistent access to internet with speeds of 10 Mbps for downloads and 5-10 Mbps for uploads? (you can check it here https://www.att.com/support/speedtest/) optional
- As part of any recruiting and hiring process, Protective collects and processes personal information relating to job applicants. The Company is committed to being transparent about how it collects and uses that information and to meeting its information protection obligations. In the recruitment and hiring process the “personal information” we collect includes: General Identifying and Contact Information (e.g., name, mailing address, phone number, email address), Employment History Information, Education History Information. Please be aware that the personal information you provide during the application process may be shared internally with employees of Protective as well as our designated third-party vendors for the purposes of the recruitment and hiring process, including contacting you regarding your application and assessing your qualifications for job openings with Protective. California applicants should review the state-specific notice provided in accordance with the California Privacy Rights Act. By clicking “Consent” below you understand and freely give your consent to Protective and our designated third-party vendors collecting and processing your personal information relating to your potential employment with Protective. Applicant Notice - California: As part of Protective’s commitment to transparency related to personal information, and in order to comply with the California Privacy Rights Act (“CPRA”), we are providing you with this disclosure regarding the categories of personal information we may collect from you and the purposes for which that information may be used. Information We Collect: In the recruitment and hiring process the categories of “personal information” we collect include: General Identifying and Contact Information (e.g., name, mailing address, phone number, email address), Employment History Information, Education History Information. Use of Personal Information: The personal information we collect during the application process is used to assess your qualifications for the purposes of the recruitment and hiring process, including contacting your regarding your application and assessing your qualifications for job openings with Protective. The personal information you provide will not be “sold to” or “shared with” a third-party as those terms are defined by the CPRA. The Company will not collect additional categories of personal information or use the personal information we collect for materially different, unrelated, or incompatible purposes without providing you notice. Retention of Information: Each of the categories of information you provide are subject to our internal policies on retaining employee and applicant information. These policies are based on applicable legal retention requirements for retaining personal information of applicants and/or employees. As part of our internal policies, we have a process in place to determine when this information is no longer needed and can be disposed of in a secure manner. Additional Information: For more information on your rights under the CPRA, please see the Company’s California Privacy Rights Act Policy. optional
- Are you legally authorized to work in the United States?
- Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-1B)?
- Have you ever been employed with Protective or one of its affiliates?
- How did you hear about this opportunity? optional
- Do you currently have, or have you previously had, direct supervisory responsibility for claims examiners or claims professionals?
- Do you have experience coaching, mentoring, and conducting performance evaluations for claims staff?
- Do you have working knowledge of federal and state leave laws (e.g., FMLA, disability, paid family leave, statutory leave programs)?
- Have you ever implemented workflow improvements, process changes, or training initiatives that increased team performance or compliance?
- Do you have experience reviewing claims decisions to ensure regulatory compliance and consistent adjudication practices across a team?
Written answers (1)
- Do you have any family members who are employed with Protective?