Director, Supplemental Health Claims

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Alternate Locations: Charlotte, NC (North Carolina);
Omaha, NE (Nebraska);
Work from Home

Work Arrangement:

Remote :
Work at home employee residing outside of a commutable distance to an office location.

Relocation assistance:is not available for this opportunity.

Requisition #:75798

We are excited to bring on a Director of Supplemental Health Claims to join our Group Protection Claims team in a hybrid environment if near Omaha, NE or Charlotte, NC or remotely.

Background Details

On the Group Protection Claims team, you will provide leadership, coaching and development to your team of roughly 5-8 Managers and Consultants.

As a Director of Supplemental Health Claims in our Group Protection Claims organization, you will provide leadership and direction to ensure group results. You will oversee and ensure the fair, ethical and timely management of complex claims for Supplemental Health. You will build and foster effective relationships across various departments within Lincoln's Group Protection Organization.

• You will maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions. In addition, you will direct and enhance organizational initiatives by positively influencing and supporting management change and/or departmental/enterprise initiatives.
• You will identify and direct the implementation of process improvements that significantly reduce workloads or improve quality across the department. In addition, you will drive various projects forward to scale efficiency or enhanced customer experience.
• You will provide training and development opportunities, including stretch assignments, for team members and give honest and open feedback to aid in the development of talent. In addition, you will direct and evaluate individual/team performance and take appropriate action to meet and/or exceed performance standards.
• You will develop, maintain and analyze appropriate metrics and control mechanisms for claims including using data and analysis to improve business results by targeting opportunities and process improvements within claims. You will monitor Supplemental Health claim KPIs and appeal reporting while monitoring budget and staffing models.
• You will do reviews and cascade State of Emergency announcements to claims management.
• You will establish and implement priorities, performance goals and objectives to ensure group results.
• You will develop and execute claim initiatives which have substantial impact on the success of claims handling, enhance customer experience and successfully meet the annual business operating priorities.
• You will monitor and implement claims policy and guidelines in compliance with claim objectives and insurance laws and regulations.
• You will ensure all Supplemental Health claims eligible or ineligible for payment conform to quality, production standards and specifications. In addition, you will ensure claims processing is consistent with applicable policies, procedures and department guidelines.
• You will develop and maintain close customer ties,…