2 дня назад
Paid Leave Claim Manager (Employee Benefits)
68 000 - 100 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Paid Leave Claim Manager (Employee Benefits): Supervising claims examiners and overseeing disability and paid-leave claim adjudication with an accent on regulatory compliance, workflow management, quality standards, and customer service. Focus on resolving escalated claims, implementing process improvements, coaching staff, and maintaining accurate payment and overpayment controls.
Location: Work from home; Remote
Salary: $68,000–$100,000 per year. also states a targeted salary range of $68,000–$140,000, plus potential annual incentive compensation.
Company
provides insurance and employee benefits intended to protect customers and support financial and personal wellbeing.
What you will do
- Supervise, advise, schedule, and assign work to claims examiners throughout the adjudication process.
- Monitor production, quality, process consistency, regulatory compliance, and departmental service standards.
- Resolve escalated, complex, and special-handling claims and consult with managers and subject-matter experts.
- Manage workflow, recommend process improvements, and implement business and program changes.
- Hire, train, coach, mentor, and evaluate claims staff while addressing performance and development needs.
- Oversee check reporting, returned-check processing, stop payments, voids, overpayments, liens, and related follow-up.
Requirements
- Bachelor’s degree and two years of experience as a Claims Examiner preferred.
- Experience supervising, mentoring, training, or leading others preferred.
- Knowledge of disability adjudication principles, procedures, medical terminology, and current business practices.
- Knowledge of current federal and state laws pertaining to leaves of absence.
- Strong supervisory, interpersonal, communication, organization, prioritization, and independent problem-solving skills.
- Proficiency in Microsoft Word and Excel; ability to adapt to change and work in a fast-paced environment.
Culture & Benefits
- Remote work environment with a focus on customer service and a positive workplace.
- Health, dental, and vision insurance.
- Paid time off, paid parental leave, short-term disability, and a cultural observance day.
- Healthcare account contributions, pension plan, and 401(k) with company matching.
- Mental health support, employee assistance services, and wellbeing rewards.
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