Insurance Claims Manager

ManhattanLife Insurance & Annuity Company • Houston, TX

14h

About The Position

ManhattanLife is seeking a Claims Manager. As an Insurance Claims Manager, you will oversee the daily operations of a team that processes benefits payable under several of our insurance policies. Your objective will be to ensure this department reviews all claims accurately, promptly, and thoroughly while providing 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.
• Effective time management and organizational skills with an attention to detail and strong analytical and decision-making abilities.
• Ability to build strong working relationships across all levels and functions of the organization, including Agent relations.
• Excellent written and oral communication skills.

Responsibilities

• Establish and maintain exceptional recruiting standards to acquire a high caliber of people with diverse skills and background.
• Work with leadership to establish and implement a strategic staffing strategy.
• Organize and improve the documentation and procedures provided in the onboarding process for new employees and training refreshers to tenured employees.
• Effectively apply and enforce ManhattanLife HR policies and practices, i.e., FML, Attendance, Code of Conduct, Disciplinary Guidelines.
• Conduct daily and weekly analysis of reports to identify trends, coordinate work activity, maximize productivity, and ensure the highest level of customer service is achieved.
• Ensure all claims are assigned in a timely manner to the appropriate claim examiner based on workload, claim volume, type of claim and examiner's level of experience.
• Analyze key metrics, customer communications, and direct "on the floor" observations to make informed decisions toward the improvement of all claim handling functions.
• Foster an inclusive and positive team environment within the department and demonstrate strong leadership skills.
• Utilize a reward system to recognize all factors of performance, business results, and personal effectiveness.
• 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.
• Evaluate high dollar claims and present information for approval to upper management as required.
• 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.
• Coach staff to address customer needs with empathy and provide effective communication verbally and in writing.
• Provide strong support and development to all staff members to achieve metrics within their role and advancement opportunities.
• Complete performance appraisals for all direct reports monthly, quarterly, and annually.

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: Manager
• Number of Employees: 101-250 employees