Sup. - LTD Claims

Reliance Matrix

23h•$74,680 - $107,660•Hybrid

About The Position

The LTD Supervisor is responsible for ensuring that all claims assigned to his/her team are accurately and fairly adjudicated in a timely manner according to plan provisions, established best practices and within company, state and federal guidelines. The Supervisor is responsible for ensuring operational excellence and collaborates with other members of the management team to improve operations beyond his or her team. Reliance Matrix delivers employee benefits, absence management and workforce productivity solutions through the financial stability of a top-rated insurance carrier, the agility and innovative spirit of a Third Party Administrator (TPA), and the daily commitment of thousands of team members across America. Where larger competitors offer size, we inspire confidence and long term engagement through integration, reliability and dedication to providing customized solutions. Reliance Matrix innovates and provides technology-driven absence and benefit solutions that enable employees and employers to manage time away from work. We help employers attract and retain valuable human capital through thoughtful, inclusive benefit programs delivered with care. We bring top-tier regulatory knowledge and cutting edge technology to help optimize workforce productivity and compliance. We offer a seamless member experience customized to each individual’s need and event. We integrate our solutions and expertise with leading HR technologies to ensure accuracy, efficiency and a superior customer experience. We are a proud member of the global Tokio Marine Group, one of the oldest, largest and most respected insurance organizations in the world. In the business hierarchy, human capital is the most precious of assets. Reliance Matrix delivers comprehensive, integrated solutions and services to attract, protect and help optimize an employer’s work force in a changing, challenging world.

Requirements

Associates Degree required
5 years disability experience required.
Knowledge and experience working in group insurance with a focus on disability claims
Critical thinking and analytical skills with a passion for problem solving and resolution
Outstanding communication skills, able to listen and respond with professionalism and empathy, maintaining tact and diplomacy, often in stressful situations
Demonstrated ability to lead change management initiatives
Ability to Travel: Up to 10%

Nice To Haves

Bachelors Preferred
Completion of HIAA, LOMA or ICA courses desirable

Responsibilities

Ensure that all claims assigned to his/her team are accurately and fairly adjudicated in a timely manner according to plan provisions, established best practices and within company, state and federal guidelines.
Ensure operational excellence and collaborate with other members of the management team to improve operations beyond his or her team.
Manage the prompt and accurate investigation, adjudication and payment (where appropriate) of claims within established guidelines.
Delegate, distribute and monitor the workflow within the department to meet turnaround times, improve efficiency and realign caseloads to reduce or eliminate backlogs.
Ensure that workflows, procedures, and best practices are followed to improve accuracy, efficiency, and effectiveness of claim management through focus reviews.
Utilize available reporting resources and file reviews to ensure that established department goals are being met.
Utilize the file review and coaching process to continually improve and develop the examiners’ skills relative to case strategy, decision-making, investigation, evaluation and communication.
Ensure achievement of specific customer service quality and production objectives as established.
Address clients’ needs and address complaints that may be escalated to you promptly; tracking, identifying and addressing issues as appropriate.
Develop, model and maintain effective working relationships with external (policyholders, brokers) and internal (sales, underwriting, administration) contacts.
Provide guidance and direction on claims presenting complex or unusual issues.
Ensure compliance with established procedures and assist with audit activities.
Suggest changes to policy language as necessary and participate in the development of new products.
Perform focus reviews and review Group Quality audit results.
Be accountable for performance of team; engage team members in talent management and development opportunities, and build a positive and respectful work environment.
Make personnel decisions on hiring, firing, discipline, transfer, advancement and promotion in accordance with Company policies and procedures.
Oversee the implementation and measurement of “best practices” to continually enhance the team's efficiency and effectiveness.
Model and drive RSL’s values in the departments.

Benefits

An annual performance bonus for all team members
Generous 401(k) company match that is immediately vested
A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.
For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account
Multiple options for dental and vision coverage
Company provided Life & Disability Insurance to ensure financial protection when you need it most
Family friendly benefits including Paid Parental Leave & Adoption Assistance
Hybrid work arrangements for eligible roles
Tuition Reimbursement and Continuing Professional Education
Paid Time Off – new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service.
Volunteer days, community partnerships, and Employee Assistance Program
Ability to connect with colleagues around the country through our Employee Resource Group program