Paid Leave Claim Manager - Employee Benefits (Remote)

The work we do has an impact on millions of lives, and you can be a part of it.
We help protect our customers against life’s uncertainties. Regardless of where you work within the company, you’ll be helping provide protection and peace of mind when our customers need it most.

Position Overview
 
The Director of Creative is responsible for leading and managing the creative team to ensure the development of high-quality multimedia content that aligns with our brand strategy and business objectives. This role requires a strategic thinker with a keen eye for detail and a passion for innovative design and motivational storytelling. The Director of Creative will collaborate closely with cross-functional teams to create compelling content that drives engagement and growth.

Responsibilities
Supervises and advises claims examiners in all phases of the adjudication process. Schedules, assigns and oversees the work of their respective claim examiners. Quickly identifies and resolves workflow and caseload management challenges. Utilize knowledge to monitor the team’s output for: uniformity in the application of processes, compliant with regulations, and adheres to or exceeds departmental standards of service. Ensure team members achieve, and preferably exceed, ‘current’ departmental production goals and quality standards. Resolves issues above the skill set of the claim examiners (i.e. act as SME). Responsible for special handling policies/claims (i.e. white glove). Confers with manager and/or other SMEs to resolve escalated/unique claim related issues. Provides feedback to management on workflow, work priorities and production problems. Recommends changes. Works with other supervisors to develop policies and strategies to advance the work of the department. Implements required programmatic and business process changes/enhancements. Reporting to management on various activities of the team both verbally and in writing. Promotes a positive customer experience through prompt, accurate and courteous service to both internal and external customers. Contribute to positive work environment to ensure the achievement of departmental and corporate goals and objectives (outside of Claims). Participates in department’s various project work and assignments, as needed. Initiates production of daily check reports. Verifies that issued checks balance to control totals. Places stop payments and voids on all returned checks. Records all overpayments and liens, including phone follow-up. Participates in interviewing and selection of staff. Hires and trains staff involved in processing claims. Provides counsel, guidance and support to examiners regarding their performance, as measured by the performance standards of the department Identifies and leads in-service training and staff development needs. Provides ongoing coaching and mentoring. Conducts performance evaluations that are timely and constructive. Establish and implement corrective action plans, when necessary. Assumes delegated responsibilities when the Manager is unavailable for a material amount of time (i.e. out of office).

Qualifications/Education/Experience
Represent the ShelterPoint brand with the utmost professionalism Bachelor’s degree and two (2) years experience as a Claims Examiner is preferred. Prior experience in supervising, mentoring, training and/or leading others is preferred. Ability to organize time, set priorities, and manage workload. Knowledge of disability adjudication principles, methods, procedures and current business practices Demonstrated ability and willingness to give candid and meaningful feedback Knowledge of current federal and state laws pertaining to leaves of absence Knowledge of medical terminology Being Responsible and Reliable is a must Ability to adapt to change Excellent supervisory skills – teaching, coaching, mentoring and leading others. Excellent interpersonal skills and ability to build effective working relationships with a variety of constituencies Professional verbal and written communication skills Independent problem-solving skills - ability to analyze, interpret and apply rules and regulations of considerable complexity Ability to work in a fast pace environment Proficient in Microsoft Office (i.e. Word, Excel).

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Employee Benefits:  
We aim to protect the wellbeing of our employees and their families with a broad benefits offering. In addition to offering comprehensive health, dental and vision insurance, we support emotional wellbeing through mental health benefits and an employee assistance program. Work/life balance is important and Protective offers a variety of paid time away benefits (e.g., paid time off, paid parental leave, short-term disability, and a cultural observance day). The financial health of our employees is just as important as physical and emotional health.  Some of the financial wellbeing benefits include contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective’s platform to improve wellbeing while earning cash rewards.

Eligibility for certain benefits may vary by position in accordance with the terms of the Company’s benefit plans.

Accommodations for Applicants with a Disability:
If you require an accommodation to complete the application and recruitment process due to a disability, please email eric.hess@protective.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application and recruitment process.

Please note that the above email is solely for individuals with disabilities requesting an accommodation.  General employment questions should not be sent through this process.

We are proud to be an equal opportunity employer committed to being inclusive and attracting, retaining, and growing an inclusive workforce.