Senior Account Manager, Remote
About The Position
This is a senior position for a highly experienced Long-Term Care (LTC) claim professional. The role is primarily client-facing and requires deep LTC claim and medical impairment knowledge, strong relationship management skills, and the ability to serve as an industry resource to clients and internal leadership. The Sr Account Manager will assess and manage complex and high-liability LTC claims, assess whether ceding companies are following applicable claim guidelines and best practices, and provide well-supported recommendations to leadership. This position will lead or participate in external claim audits, prepare audit reports, identify training opportunities, potential fraud and process gaps, deliver client training, present at industry meetings, engage with LTCI Consortium, evaluate and propose strategic initiatives for clients and Munich Re, lead projects, monitor performance, analyze production reports, and develop practical claim tools and resources for clients. The role requires the ability to travel as needed to support client engagements, audits, training, and industry-related activities.
Requirements
- Bachelor’s Degree
- 8+ years of progressive responsibility in Long-Term Care claim adjudication experience.
- Demonstrated experience managing client-facing claim responsibilities, including client consultation, claim issue resolution, relationship management, and presentation of claim recommendations or findings to clients and internal leadership.
- Experience leading or participating in external claim audits, preparing audit reports, identifying training opportunities, and supporting follow-up on audit recommendations.
- In-depth knowledge of direct insurance company claims operations
- Strong communication skills, written and oral
- Proven ability to apply knowledge and creativity to improve processes and procedures or to resolve problems.
Nice To Haves
- Industry related designations (ICA, LOMA)
- Experience developing or delivering claim training, presenting at client or industry meetings, conducting claim trend analysis, preparing analytical business reports, and leading or supporting claim-related projects preferred.
Responsibilities
- Serve as a client-facing LTC claim leader, providing industry and medical impairment expertise, claim guidance, and consultative support to clients and internal stakeholders.
- Manage and review complex, high-liability, high-dollar, and contestable LTC claim matters, including claims requiring advanced clinical, contractual, legal, or administrative analysis.
- Assess whether ceding companies are following applicable claim guidelines, policy provisions, treaty requirements, and sound LTC claim management practices.
- Evaluate Munich Re’s claim exposure and liability, identify potential risks, fraud or emerging issues, and provide well-supported recommendations to leadership.
- Lead or participate in external claim audits, including audit planning, claim file review, client discussions, audit report preparation, findings validation, and follow-up on recommendations.
- Identify client training needs, develop training content and claim tools, and deliver training to support consistent, effective LTC claim practices.
- Manage client relationships from the claim perspective, including responding to claim questions, resolving claim-related issues, and supporting client account management activities.
- Conduct claim trend analysis, identify operational or adjudication patterns, and produce analytical business reports with recommendations for appropriate action plans.
- Lead or contribute to special projects, process improvement initiatives, and development of client-facing resources that support the LTC claim function.
- Represent Munich Re in client meetings, audit discussions, training sessions, and industry meetings, including presenting LTC claim insights and best practices as needed.
- Travel as needed to support client engagements, external audits, training, industry meetings, and other business-related activities.
Benefits
- Two options for your health insurance plan (PPO or High Deductible).
- Prescription drug coverage (included in your health insurance plan).
- Vision and dental insurance plans.
- Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary.
- Short and Long-Term Disability coverage.
- Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children).
- Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity).
- A robust 401k plan with up to a 6% employer match
- Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries.
- Eligibility to receive a yearly bonus as a Munich Re employee.
- A variety of health and wellness programs provided at no cost, including a gym fitness reimbursement.
- Paid time off for eligible family care needs.
- Tuition assistance and educational achievement bonuses.
- A corporate matching gifts program that further enhances your charitable donation.
- Paid time off to volunteer in your community.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
