Senior Manager – Claims

Role Overview

• Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners
• Ensures the team operation is efficient, effective and in compliance with all federal and state requirements
• Evaluates the team plan for continual improvement of the efficiency and effectiveness of the group and provides individuals with professional and personal growth
• Develops and fosters excellent relationships with clients
• Collaborate with internal and external partners regarding the profitability of clients’ blocks of business
• Ensures client complaints/issues are addressed promptly and in accordance with service standards
• Utilizes operational metrics and reports to track trends and results and adjusts tactics accordingly
• Participates in the development and communication of internal policies, procedures and systems
• Supports technological initiatives for the enhancement and efficiency of the claims management process
• Supports and executes claim management initiatives
• Conducts internal and external training sessions
• Conducts internal and external claim audits
• Participates in new client prospecting and implementation
• Completes continuing education requirements to maintain license
• Participates in industry meetings
• Participates in product development and product enhancement
• Other duties and responsibilities as assigned

Requirements

• Ability to work with a diverse group of people
• Technically proficient in disability products and claims, with a minimum of 5 years progressively responsible disability claims experience
• Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy
• Demonstrated leadership qualities, prior management experience a plus
• Proven ability to train and motivate employees
• Demonstrated ability and willingness to give candid and meaningful feedback
• Expert technical ability in interpreting and communicating disability policy/contract language
• Exposure to multiple and complex disability claims issues with demonstrated experience in generating, selecting and implementing solutions to resolve those issues
• Knowledge of Federal, State and local regulations relating to disability
• Excellent analytical, critical thinking, problem solving and decision-making skills
• Excellent verbal communication skills, with the ability to be both pleasant and professional
• Ability to represent FullscopeRMS and clients effectively
• Strong written communication skills
• Solid mathematical skills
• Strong interpersonal and customer service skills
• Ability to be flexible and open minded to change and new ideas
• Confidentiality, discretion and tact are paramount
• Solid negotiation skills
• Ability to manage conflict comfortably and effectively
• Small and large group presentation skills
• Ability to work in a self-directed manner, and initiating and prioritizing regular work duties and projects
• Detail oriented, organized, the ability to multi-task, and strong time management skills with the ability to meet deadlines and respond to unexpected requests in a prompt manner
• Strong computer skills, proficient in PC environment and MS Word, Excel, and email systems
• Ability to work professionally and effectively with co-workers, clients, claimants, vendors and others with whom FullscopeRMS does business.

Benefits

• generous vacation and sick time
• market-leading paid family, parental and adoption leave
• medical coverage
• company paid life and AD&D insurance
• disability programs
• partially paid sabbatical program
• 401(k) employer match
• stock purchase options
• employer-funded retirement account
• flexible, inclusive and collaborative work environment