LTD Claims Lead (Complex Claims Unit)

Preparing for the Future • South Portland, ME

3d • Hybrid

About The Position

The LTD Claims Lead (CCU) is responsible for the investigation and adjudication of complex Long-Term Disability (LTD) files within the group LTD department, as well as identifying appropriate LTD settlement candidates. This role also involves coaching and development of LTD Examiners to build organizational talent and maintain a focus on continuous learning within the claims department. The primary duties include successful utilization of FINEOS claims systems for accurate LTD claim processing and quality excellence, building trust and collaborative relationships with LTD Examiners to foster growth and improve competency, driving execution of LTD Settlements goals by identifying and facilitating fair LTD settlement options, and efficient and effective utilization of internal and external investigative tools to protect against potential fraud. The role also requires identifying and driving positive change using innovative thinking and having the courage to speak up.

Requirements

• 5+ Years of Long-Term Disability claims experience required.
• Proven ability to navigate claims systems and Windows software application required.
• High School Diploma required, or any combination of education and experience which would provide an equivalent background.
• Must undergo mandated background checks as a condition of employment.

Nice To Haves

• Recommend one or more industry continuing education certificates.

Responsibilities

• Investigate and adjudicate complex Long-Term Disability (LTD) files.
• Identify appropriate LTD settlement candidates.
• Coach and develop LTD Examiners.
• Utilize FINEOS claims systems to accurately process LTD claims and drive quality excellence.
• Build trust and collaborative relationships with LTD Examiners.
• Drive execution of LTD Settlements goals by identifying and facilitating fair LTD settlement options.
• Utilize internal and external investigative tools to protect against potential fraud.
• Identify and drive positive change using innovative thinking.

Benefits

• Medical & prescription, dental, vision insurance
• Health Savings Account & Flexible Spending Accounts
• Paid Time Off
• 10 weeks 100% paid parental leave (after completing 12 months of employment)
• 401(k) Plan with company match
• Pension Plan
• Company paid life & disability insurance
• Wellness Program & Company paid employee assistance program
• Clinic access subject to location (Indianapolis, Charlotte, Cincinnati )

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED