Manager, LTD Claims

Preparing for the Future•South Portland, ME

5d•Hybrid

About The Position

At OneAmerica, we deliver on promises when customers need us most. We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals. We keep our promises, so we can help them achieve their goals and realize their definition of financial success. At OneAmerica, we are committed to delivering exceptional service and meaningful outcomes for our customers. This role blends leadership, operational excellence, and customer advocacy—ensuring that every claim decision is handled thoughtfully and fairly. We’re looking for a Manager, LTD Claims who is passionate about leading people, delivering meaningful service, and driving fair, equitable outcomes for our customers.

Requirements

Bachelor’s degree or equivalent combination of education and experience
High school diploma or equivalent required
A combination of education and relevant experience that demonstrates comparable qualifications may be considered
5+ years of disability claims management experience
Strong understanding of LTD claims practices and regulatory requirements (ERISA preferred)
Proven leadership experience with a track record of coaching and developing high-performing teams
Ability to analyze data, identify trends, and make informed decisions
Excellent communication and relationship-building skills
Strong organizational and time management abilities
Self-motivated with a proactive, solutions-oriented mindset

Nice To Haves

ICA, HIA, LOMA, FLMI, CEBS, or similar industry designations preferred

Responsibilities

Lead, coach, and develop a team of claims professionals to achieve performance, quality, and productivity goals
Ensure consistent, accurate claims handling aligned with workflows, policies, ERISA requirements, and fair claims practices
Review and monitor claims activity (pending claims, diaries, change of definition reports) to maintain quality and timeliness
Conduct monthly one-on-one meetings to support employee development and performance management
Analyze reports and metrics to identify trends, improve workflows, and ensure turnaround times are met
Manage team caseload distribution to ensure balance and efficiency
Oversee claim approvals/denials and participate in complex claim reviews
Respond to and track insurance department complaints, ensuring timely and compliant resolution
Address and document customer concerns from claimants, policyholders, and clients to enhance service experience
Collaborate cross-functionally with Legal, Underwriting, QA, Appeals, Training, and other partners
Support customer retention and growth through participation in presentations and client meetings
Drive continuous improvement initiatives and contribute to organizational projects