Long Term Disability Team Lead

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversees a caseload of intricate claims that encompass various eligibility categories, policy conditions, and/or multiple diagnoses and claim factors.

• Evaluates and processes claims by conducting thorough investigations and gathering a diverse array of complex information.

• Implements claims policies and procedures while appropriately engaging internal and external resources to ensure fair, ethical, and timely management of assigned claims.

• Employs judgment and expertise in claims management to make decisions based on the information available at the time of the decision.

• Analyzes and interprets complex coverage contracts to ascertain if eligibility requirements are satisfied.

• Effectively oversees time management and desk organization; mentors others on techniques and systems for organizing and prioritizing work while staying updated on caseloads.

• Identifies and resolves discrepancies in financial calculations and offsets when necessary, sharing technical knowledge and methodologies regarding financial calculations with team members.

• Accurately interprets calculations involving complex contract provisions and collaborates with relevant resources as needed to address issues.

• Recognizes and emphasizes to junior team members the significance of making correct and precise eligibility decisions and benefit calculations.

⛳️ Requirements

• Bachelor's degree or 4 years of equivalent work experience in place of a Bachelor's degree (Minimum Required)

• 1 - 3+ years of claims experience directly related to the specific responsibilities of this role (Required)

• Ability to perform effectively under stress in emergency, critical, or hazardous situations.

• Capacity to collaborate with others in a team-oriented environment.

• Proven strong relationship management skills with internal clients (e.g., management, peers, and colleagues).

• Exhibits excellent organizational skills, with the ability to prioritize workload and multitask while maintaining a strict attention to detail.

🏝️ Benefits

• Paid Time Off/parental leave

• Competitive 401K and employee benefits

• Free financial counseling, health coaching, and employee assistance program

• Tuition assistance program

• Flexible work arrangements

• Effective productivity and technology tools, along with training