Vice President, Claims

GUARANTEE TRUST LIFE INSURANCE GROUP•Glenview, IL

5d•Onsite

About The Position

GTL is delighted to share with you an exciting opportunity for the role of Vice President of Claims. This pivotal position is not just another job; it’s a chance to lead the Life and Health Claim Administration at the highest level within our organization. Extensive life and health claims experience is essential for success in this role. TIMELINE NOTE: Initial conversations and interviews will begin in early January. As Vice President of Claims, you will be responsible for providing strategic leadership for the Claims, Document Management Center, and Policyholder Services departments. This position has five direct reports and total responsibility for 80 employees. Your mission will be to build a strong, sustainable organization by attracting, developing, and retaining top talent. You'll identify opportunities for process improvement, set policy procedures, and streamline processes to ensure timely, accurate, compliant, and cost-effective processing for GTL. Additionally, you will play a crucial role in enhancing customer loyalty and persistence, as well as improving our standing with agents and brokers, which ultimately supports sales and profitability. In this role, you'll have the opportunity to identify trends and emerging issues, developing strategies to mitigate future risks or capitalize on future opportunities. Collaboration will be key, as you will partner with Legal, Underwriting, Actuarial, and other departments to share data and trend information, all while assisting in marketing and product development efforts. Reporting directly to the Chief Actuary, Senior Vice President, you will be a key player in shaping the future of your department. Key responsibilities include developing long-range objectives and planning for all service areas within the departments, streamlining the production process, and improving productivity by establishing policies, processes, and standards. You will also be responsible for ensuring all service metrics are achieved regularly and for participating in the development and design of new products. You will personally manage claims that exceed the authority level of subordinate staff, with a particular focus on complex life and health claims. You will serve as GTL's key representative in claims-related mediations and litigations. Additionally, you will consult with and advise third-party administrators to ensure timely, compliant, and quality service. Utilizing technology and artificial intelligence to reduce operating expenses and improve service will be a significant part of your role. You will ensure that all processes remain compliant with state and federal guidelines and regulations, manage and oversee a $7.5 million budget, and develop and monitor subordinates to enhance their performance through ongoing feedback and coaching. Effective communication and the ability to present information in both formal and informal settings are essential.

Requirements

10+ years of leadership experience in insurance claims
Bachelor's Degree
Demonstrated expertise in life and health claims administration
Demonstrated expertise in health insurance products, medical aspects of claims, and related terminology
Strong analytical and problem-solving capabilities

Nice To Haves

MBA is a plus
Practical claim adjustment experience
Thorough understanding of contract law
Supervisory and leadership credentials
Familiarity with process improvement methodologies
Previous experience in Document Management and Policyholder Services
Extensive life and health claims experience, with proven success managing complex cases and leading teams in this domain

Responsibilities

Providing strategic leadership for the Claims, Document Management Center, and Policyholder Services departments.
Building a strong, sustainable organization by attracting, developing, and retaining top talent.
Identifying opportunities for process improvement, setting policy procedures, and streamlining processes to ensure timely, accurate, compliant, and cost-effective processing for GTL.
Enhancing customer loyalty and persistence, as well as improving our standing with agents and brokers, which ultimately supports sales and profitability.
Identifying trends and emerging issues, developing strategies to mitigate future risks or capitalize on future opportunities.
Partnering with Legal, Underwriting, Actuarial, and other departments to share data and trend information, all while assisting in marketing and product development efforts.
Developing long-range objectives and planning for all service areas within the departments.
Streamlining the production process, and improving productivity by establishing policies, processes, and standards.
Ensuring all service metrics are achieved regularly.
Participating in the development and design of new products.
Personally managing claims that exceed the authority level of subordinate staff, with a particular focus on complex life and health claims.
Serving as GTL's key representative in claims-related mediations and litigations.
Consulting with and advising third-party administrators to ensure timely, compliant, and quality service.
Utilizing technology and artificial intelligence to reduce operating expenses and improve service.
Ensuring that all processes remain compliant with state and federal guidelines and regulations.
Managing and overseeing a $7.5 million budget.
Developing and monitoring subordinates to enhance their performance through ongoing feedback and coaching.

Benefits

Medical
Health Savings Account (including employer contribution)
Dental
Vision
Basic Life Insurance (full premium paid by employer)
Voluntary Employee, Spouse and Child Life Insurance
Short-Term and Long-Term Disability
Paid Holidays
Paid time off including vacation, personal days, and sick time
401(k) and Profit-Sharing retirement plan
The company matches contributions up to 2% provided the employee contributes a minimum of 3%
The company may make a discretionary contribution to the Profit-Sharing plan