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[Hiring] Director of Supplemental Health Claims @Lincoln Financial
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
We are excited to bring on a Director of Supplemental Health Claims to join our Group Protection Claims team in a hybrid environment if near Omaha, NE or Charlotte, NC or remotely.
- Provide leadership, coaching, and development to a team of roughly 5-8 Managers and Consultants.
- Oversee and ensure the fair, ethical, and timely management of complex claims for Supplemental Health.
- Build and foster effective relationships across various departments within Lincoln's Group Protection Organization.
- Maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions.
- Direct and enhance organizational initiatives by positively influencing and supporting management change and/or departmental/enterprise initiatives.
- Identify and direct the implementation of process improvements that significantly reduce workloads or improve quality across the department.
- Drive various projects forward to scale efficiency or enhance customer experience.
- Provide training and development opportunities, including stretch assignments, for team members and give honest and open feedback to aid in the development of talent.
- Direct and evaluate individual/team performance and take appropriate action to meet and/or exceed performance standards.
- Develop, maintain, and analyze appropriate metrics and control mechanisms for claims.
- Monitor Supplemental Health claim KPIs and appeal reporting while monitoring budget and staffing models.
- Do reviews and cascade State of Emergency announcements to claims management.
- Establish and implement priorities, performance goals, and objectives to ensure group results.
- Develop and execute claim initiatives which have substantial impact on the success of claims handling, enhance customer experience, and successfully meet the annual business operating priorities.
- Monitor and implement claims policy and guidelines in compliance with claim objectives and insurance laws and regulations.
- Ensure all Supplemental Health claims eligible or ineligible for payment conform to quality, production standards, and specifications.
- Ensure claims processing is consistent with applicable policies, procedures, and department guidelines.
- Develop and maintain close customer ties, articulate customer needs, and keep priorities in focus with the desires and expectations of the customer.
Qualifications
- 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's).
- 7+ years of experience in Claims that directly aligns with the specific responsibilities for this position, including 3+ years of managerial, supervisory, and/or demonstrated leadership experience.
- Demonstrated strong relationship management skills with internal/external clients with proven ability to develop creative and collaborative approaches.
- Ability to think critically, analyze information, and evaluate the implications of a course of action or solution.
- Demonstrate strong project management leadership skills including critical ability to coordinate and balance multiple projects in a time-sensitive environment, under pressure and meeting deadlines.
- Confident, comfortable communicator with strong written and verbal communication skills.
Requirements
- Group insurance operations experience (preferred).
- Group insurance service experience (preferred).
Benefits
- Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes.
- Leadership development and virtual training opportunities.
- PTO/parental leave.
- Competitive 401K and employee benefits.
- Free financial counseling, health coaching, and employee assistance program.
- Tuition assistance program.
- Work arrangements that work for you.
- Effective productivity/technology tools and training.
