Team Leader, Group Life Claims

Guardian Life Insurance • Holmdel Township, NJ

9d • Remote

About The Position

This is a mobile position with preference given to candidates within commuting proximity to a Guardian office with the ability to travel to Guardian offices as determined by the People Leader. Position Summary The Life Team Leader is responsible for validating that all Life claims are accurately and fairly adjudicated according to plan provisions, established best practices and within state and federal guidelines. The Team Leader must be able to manage and resolve issues that pertain to claim administration procedures cost containment activities, reports, and quality control issues. The Team Leader will serve as primary resource for the team and provide direction to the staff members by setting objectives, communicating progress and goals, and holding the staff accountable for adhering to all quality assurance, turnaround times, best practice standards, and operational efficiency. You will assist team members with their development and career progression. The Team Leader partners internally with cross-functional areas for program direction, goal setting, service delivery and development of action plans and leveraging bench strength. The Team Leader works with external customers to enhance the overall experience for the customer. You will be responsible for the overall functioning of the department.

Requirements

• 4 year college degree preferred or equivalent work/education experience
• Minimum 3 years life claims experience
• Excellent written and verbal communication skills
• Ability to exercise independent & sound judgment in decision making
• Able to hold others accountable
• Ability to analyze evidence for discrepancies
• Ability to conduct research using multiple techniques
• Excellent time management & organizational skills
• Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations
• Self-motivated & able to work independently
• Ability to work collaboratively with multiple professional disciplines and with diverse population

Nice To Haves

• Previous people leadership experience strongly preferred
• Regulatory and Compliance experience a plus

Responsibilities

• Validating that all Life claims are accurately and fairly adjudicated according to plan provisions, established best practices and within state and federal guidelines.
• Manage and resolve issues that pertain to claim administration procedures cost containment activities, reports, and quality control issues.
• Serve as primary resource for the team and provide direction to the staff members by setting objectives, communicating progress and goals, and holding the staff accountable for adhering to all quality assurance, turnaround times, best practice standards, and operational efficiency.
• Assist team members with their development and career progression.
• Partner internally with cross-functional areas for program direction, goal setting, service delivery and development of action plans and leveraging bench strength.
• Work with external customers to enhance the overall experience for the customer.
• Responsible for the overall functioning of the department.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees