Claims Supervisor

ManhattanLife Insurance & Annuity Company • Houston, TX

4h

About The Position

ManhattanLife is seeking multiple Claims Supervisors for our Health Acquisitions department. As a Claims Supervisor, you will oversee the daily operations of a team of claim examiners that process benefits that are payable under our several of our indemnity insurance policies. Your objective will be to ensure this department reviews all claims accurately, promptly, and thoroughly while also determining the action steps that your team needs to take to provide an industry leading customer experience for our claimants.

Requirements

• Bachelor’s degree or equivalent relevant work experience in the insurance or finance industries.
• At least 3 years of financial transaction and/or claims handling experience in progressively responsible roles, including supervisory functions.
• Strong oral, written and interpersonal communication skills, sound judgment and the ability to think within a structured and compliant work environment while focusing on the customer.
• Demonstrated understanding of computer systems such as email, data entry, and Microsoft products, with proficient keyboarding skills.
• Ability to work flexible shifts and maintain regular and predictable attendance with adherence to department and company attendance expectations. May be required to work overtime based on business needs.

Nice To Haves

• Insurance designations preferred.

Responsibilities

• Organize and improve the documentation and procedures involved in training new employees.
• Accurately determine complex claim benefits payable based on medical records, contract language and any additional information needed to reach the appropriate decision in a timely manner. This includes both payment and denial of benefits.
• Ensure that all claims are assigned in a timely manner and to the appropriate claim examiner based on workload, claim volume, type of claim and the examiner’s level of experience.
• Communicate with external and internal customers to obtain specific claim information to finalize claims and to explain claim handling.
• Review and respond to escalated claim inquiries, claim appeals, and complaints in a timely manner.
• Provide insights and recommendations for enhancements to claim processes, training procedures, system improvements and auditing.
• Make appropriate referrals to other departments including but not limited to legal, underwriting, and policyholder services.

Benefits

• ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans.
• We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees