[Hiring] Director of Supplemental Health Claims @Lincoln Financial

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

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.

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.

Group insurance operations experience (preferred).
Group insurance service experience (preferred).

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.

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