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Job Bank

There are currently five job posts in the Job Bank.

Please forward posts to Darci Chuba at dchuba@claim.org


POST 1

Position Title: Director - Field Claims

LOCATION: Springfield, MA

COMPANY BACKGROUND: MassMutual Financial Group

Chartered in 1851, Massachusetts Mutual Life Insurance Company (“MassMutual” or the “Company”) is a leading mutual life insurance company that is run for the benefit of its members and participating policyholders. The Company has a long history of financial strength and strong performance, paying dividends to eligible participating policyholders every year since the 1860s.  MassMutual is headquartered in Springfield, Massachusetts and its major subsidiaries include OppenheimerFunds, Inc., Babson Capital Management LLC, Cornerstone Real Estate Advisers LLC, Baring Asset Management Limited and First Mercantile Trust Company.  

MassMutual Financial Group (“MMFG”) is a marketing name for Massachusetts Mutual Life Insurance Company and its affiliated companies and sales representatives. MMFG is a global, diversified financial services organization providing life insurance, disability income insurance, long term care insurance, retirement/401(k) plan services, annuities, investment management, mutual funds and trust services to individual and institutional investors.  With whole life insurance as its foundation, the company’s strong and growing network of financial professionals helps clients make good financial decisions for the long-term. MassMutual, or its subsidiaries, also have operations in Asia, Europe and Latin America.

MassMutual has maintained some of the highest financial strength ratings in any industry, and is committed to maintaining a position of preeminent financial strength by achieving consistent, long-term profitable growth.  In total, MassMutual worldwide insurance in-force was $532 billion at the end of 2009, and assets under management were $420 billion.  Premium and other deposits totaled $27 billion for 2009.  MassMutual is ranked 93 on the Fortune 500 list and was also named one of Fortunes “Most Admired” companies. 

POSITION SUMMARY

Disability Income Benefits is responsible for the timely, accurate and empathetic payment of disability benefits to over 6900 claimants.

OVERALL RESPONSIBILITIES

Responsible for meeting cycle time, customer satisfaction and Quality Assurance objectives for the field claim function, while promoting alternative claims resolution strategies, supporting all audit and Sarbanes Oxley activities, and maintaining the security/privacy of customer information.  Position will manage to established budget and unit cost rates, while implementing Lean Six Sigma (projects & “everyday”), and supporting submission/implementation of employee ideas that contribute to realized efficiency gains and/or service improvements.  Position will also lead or participate in projects, as well as execute the company’s Performance Evaluation Process, reward and recognize performance, retain top talent, implement succession plans, develop staff and continuously improve employee engagement levels.

CANDIDATE QUALIFICATIONS

• Bachelor’s Degree strongly desired

• Disability insurance claims and in particular, field claims, experience strongly desired

• Well-developed leadership skills

• People management and development experience

• Ability to foster collaborative relationships

• Strong written and oral communication skills

• Keen attention to detail

• Demonstrated creativity and willingness to challenge the status quo

• Ability/willingness to travel up to 20% a month, and to work off hours as required

• Experience in managing a remote staff a plus

LEADERSHIP IMPERATIVES:  a leader at MassMutual…

• Creates an environment of trust through integrity – always models and requires uncompromised ethics and fair treatment, demonstrates inclusiveness, cultivates openness and a free exchange of views, honors commitments, walks the talk, is genuine and always respectful.

 

• Inspires high performance, demands accountability – communicates a compelling vision, instills a winning spirit, fosters collaboration, clearly defines expectations, delivers candid feedback, proactively develops peop0le including people who are different, models a strong work ethic and commitment to results, holds self and others accountable.

 

• Insists on timely, high-quality decision making – focuses relentlessly on critical priorities, breaks down silos, empowers others, demonstrates strategic thinking and sound judgment, advances fact-based decisions and financial discipline.

 

• Drives diversity and innovation – builds and supports a diverse workforce and sales force that reflects the marketplace we serve, seeks out and values diverse viewpoints and perspectives, anticipates opportunities, initiates improvements that create stakeholder value, stimulates creativity, shows courage to challenge the status quo, leads people through change.

 

• Champions business understanding – challenges internally-focused thinking deeply understands and educates the organization on; policyholder/customer expectations, the external environment, Company strategies, and how the team impacts enterprise success.

WINNING WAYS:

  • Focus on the Customer. Know your customers well; add value with a sense of urgency.             
  • Act with Integrity: Be trustworthy, adhere to high ethical standards, adhere to the letter and spirit of applicable laws, rules, regulations and company policies
  • Value People. Lead people to success; appreciate diverse backgrounds, ideas and experiences. 
  • Work Collaboratively.  Partner with others to achieve results that leverage the right resources
  • Achieve Results. Focus on winning; consistently exceeds expectations, beat the competition.

COMPENSATION

We pay competitive base salaries and we reward performance. Our salary structure is commensurate with experience. In addition, you will be eligible to participate in our comprehensive benefits program including medical insurance and 401(K).

TO APPLY:

If you would like to apply to this position please click here.

If you are already registered on our site, hit the “Apply” button at the top left corner of the page, login our site and apply directly to the job. 

 

If you are not registered on our site, please hit “Apply” at the top left corner of the page and click register.   You will receive via email an acknowledgement of your registration. 

 

The email acknowledgement will include a link that must be clicked and/or copied and pasted into your browser in order to complete registration.  The link is only valid for 24 hours.  Once you have completed the registration process, go to www.massmutual.com  log in to our site and search for job number 50252526 and "APPLY". 

 

In addition, if you would like to learn more about MassMutual, please visit www.massmutual.com .

 

MassMutual is an Affirmative Action/Equal Employment Opportunity Employer (M/F/V/D).  ADA requirements available on request

 

If you feel you need an accommodation to apply for one of our open positions, please contact us at (413) 744-6825.

Posted 08/11/2010


POST 2

Generali USA Life Reassurance Company (Generali USA) is proud to be recognized as one of the industry’s top professional life reinsurers. At the heart of our success is a commitment to identify customer needs, and to apply our knowledge, skill, and creativity to solve customer challenges. Generali USA is a wholly owned subsidiary of Assicurazioni Generali S.p.A., which is one of the largest, most stable insurance companies in the world today.

Generali USA has the following open position:

Position Title: Claim Consultant


LOCATION: Lenexa, KS

POSITION OBJECTIVE

The Claim Consultant position provides: 1) The timely and accurate review, settlement and payment of assumed reinsurance claims; 2) The timely and accurate settlement of ceded reinsurance claims and 3) Prompt and accurate communication to reinsurance clients and retrocessionaires regarding the status of assumed or retroceded claims.

AREAS OF RESPONSIBILITY

1. Assure that claims from ceding company clients are properly evaluated so that they represent valid claims (e.g. they are for covered policies, the documentation provided is complete and corresponds to the relevant treaty provisions).
2. Assure proper records are maintained for all submitted claims.
3. Assure that Generali USA’s claims adjudications are properly supported by the claims circumstances, documentation and relevant treaty provisions.
4. Assure that retrocession claims information, documentation and claims are submitted on a timely basis and monitor adjudication by the retrocessionaires.
5. Assure that claims are adjudicated within the time frames established by Generali USA.
6. Perform accurate calculation of claim liability to assure accurate financial results.
7. Perform/assist with desk and on site document verification and qualitative claim audits of ceding company clients, as needed.

EDUCATION AND/OR EXPERIENCE REQUIRED

Four year college degree or
10 years claim experience adjudicating reinsured and/or direct life and disability claims.
ALHC or FLMI designations.

TO APPLY


For confidential consideration, please send a cover letter and a resume to our Human Resources department.
Fax: (913) 901-4774
E-Mail: Resume@generaliusa.com

Posted 08/10/2010


POST 3

Title: Vice President, Account Operations (Claims and Member Services)

LOCATION: New York, NY

OVERVIEW:

My client is a service organization that provides health insurance claim filing/ombudsman services. Its customer (member) base is comprised of: Individuals, Providers, Corporate Benefits Dept's, Insurance Brokers, and Accountants/Business Managers who need to or desire to out-source the paper-work, tracking and reconciliation of health claims expenses submitted for payment to Insurers/Payors.  My client employs experienced health claims examiners and auditors to ensure that all of its customers' submitted claims are processed and calculated correctly by the Payors, abiding by the insurance coverage provisions and in compliance with all  State and Federal Reg's. I have been asked to find an experienced and well qualified health claims operations management person to oversee this operation. 

REQUIRED BACKGROUND AND SKILLS:

Well-qualified candidates will have over 10 years of experience working within a health insurance claims processing and customer service environment, at least 5 years of which will have been in a leadership position.  He/she will be exceptionally well versed in all aspects of health insurance plans, policies, and practices.  Optimal candidates will bring the following skills, as well as the ability to identify and cultivate such skills within other team members:

·         Excellent PC skills and working knowledge of MS Office, including Excel

·         Excellent communication skills both verbal and written

·         5 plus years experience in claims management including appeals

·         Detailed knowledge of health insurance products

·         Strong knowledge of health insurance financial arrangements

·         Strong knowledge of health insurance contracts and riders

·         Strong knowledge of mandates (federal and state)

·         Experience and knowledge with Coordination of Benefits

·         Excellent interpersonal skills and a collaborative management style

·         Strong knowledge of HIPAA compliance

·         Interaction with DOBI is a plus

·         Ability to challenge and debate issues of importance with insurance carriers

·         Strong ability to manage team members, and identify and cultivate talent

My client offers a competitive compensation and benefit package, as well as the opportunity for personal career growth within this rapidly expanding organization.  

TO APPLY:

Please email your resume and contact instructions to:

 

Jerry Leeds, FLMI, ALHC

Principal

jleeds@leedsandleeds.com

 

Leeds and Leeds

www.leedsandleeds.com

Posted 08/09/2010


POST 4

Title: LTD Claims Technical Lead

LOCATION:  Phoenix, AZ

 

Reliance Standard Life Insurance Company (Reliance Standard), a wholly-owned subsidiary of Delphi Financial Group, Inc. (NYSE:DFG), is a leading insurance carrier specializing in innovative and flexible employee benefits solutions including disability income and group term life insurance, a suite of voluntary (employee paid) coverage options and fully integrated absence management. 

Reliance Standard currently has an outstanding opportunity at its Phoenix Matrix Office for an LTD Claims Technical Lead.

This individual is responsible for all technical aspects of claim handling and adjudication within a Long Term Disability (LTD) Claim Unit.  He/She will ensure that quality standards are met through clear communication of expectations, analysis and enhancement of workflows, identification and addressing opportunities for improvement in examiner and unit technical performance, and effective, claim specific direction.

DUTIES AND RESPONSIBILITES:

  • Ensures appropriate adjudication within Company standards of fully-insured LTD claims and associated coverages including voluntary LTD and Waiver of Premium.
  • Routinely provides claim specific direction to examiners and management related to investigation, evaluation and adjudication. 
  • Applies significant knowledge of industry trends and developments to achieve specific quality objectives established by the Company.
  • Conducts routine file reviews to ensure quality and production goals are achieved.
  • Collaborates with management and business partners in the identification, development, organization and execution of claim and corporate initiatives.
  • Utilizes the file review and coaching process to continually improve and develop examiners’ skills relative to claim investigation, evaluation, time/desk management and communication.
  • Analyzes audit results to identify trends, issues and training opportunities.
  • Regularly meets with staff to discuss new procedures, trends identified in quality reviews, reinforce training efforts, communicate results, share information or problems, and provide a forum for team building.
  • Ensures performance requirements and core competencies are communicated and satisfied through clear and consistent communication.
  • Tracks consumer complaint activities and identifies opportunities for training.
  • Performs key role in staff assessment, selection, development, skills training and application of new processes and technology.
  • Recognizes opportunities for workflow improvement and implements effective solutions.
  • Supports training efforts through personal involvement and reinforcement/follow-up with examiners.
  • Provides regular feedback to staff regarding performance and developmental opportunities.
  • Assists in creating and executing examiner development plans and revises as appropriate to address specific performance issues.
  • Develops, models and maintains effective working relationships with external and internal contacts.
  • Maintains consistent regulatory compliance within staff through appropriate communication and training.
  • Remains on the forefront of emerging industry practices.
  • Suggests changes to policy language as necessary and participates in the development of new products.
  • Completes special projects as assigned by management.
  • Testifies in legal hearings as required.
  • Travels (overnight) as required
  • All other duties as assigned.

EDUCATION, QUALIFICATIONS & EXPERIENCE

  • Bachelor’s degree highly preferred. Completion of HIAA, LOMA or ICA courses desirable.
  • Minimum of 3 years of LTD experience.  LTD supervisory experience highly preferred. 
  • Possesses significant knowledge of LTD claim practices and policies.
  • Understands and is able to provide appropriate direction concerning complex disability claim issues, effectively employing proven claim handling skills and techniques.
  • Demonstrated ability to handle multiple competing priorities and function with minimal supervision.
  • Proven ability to work well in a high visibility, public oriented environment, with excellent written and verbal communication skills.
  • Proven ability to actively lead and conduct presentations, training and meetings.
  • Proven ability to work with the following equipment:  Personal computer programs (e-mail, Microsoft Word and Excel, etc.), automated claims systems, telephone, fax machine and calculator.  Ability to use any or all of this equipment to track, measure and improve performance.

TO APPLY:

Interested candidates, please apply online at www.reliancestandard.com/careers or email resume to hr.careers@rsli.com.

Posted 07/27/2010


POST 5

Title: Supervisor of Life Claims & Disbursements

LOCATION:  Halifax, Nova Scotia

Manulife Financial's Individual Insurance organization is a leading provider of insurance products to Canadian families, individuals and businesses. We are recognized in the marketplace for our innovative products, excellent service and professional, expert advice.

We have an exciting opportunity for an experienced business leader to join the Inforce Individual Insurance team as the Supervisor of Claims & Disbursements.

Reporting to the Manager, Individual Insurance Policy Service, you will be responsible for leading a service team of 12 employees within our Halifax office. In this position, you will provide overall management of daily operations and quality leadership to the Claims and Disbursement department.

KEY RESPONSIBILITIES:


• Monitor activities to ensure processes are effective and efficient, with a focus on continuous improvement.
• Collect, analyze and report on work volumes, quality levels and productivity to management.
• Correspond and communicate with claimants, policy holders, attorneys, advisors, reinsurers and other departments within the company to discuss matters relevant to effective claims administration.
• Coach, lead and develop the members of the Claims and Disbursements teams.
• Perform root cause analysis of issues and propose solutions.
• Provide exceptional customer service to our clients, advisors and co-workers.
• Build strong, collaborative relationships within the ILC Operations in all locations.

QUALIFICATIONS:

As the preferred candidate, you possess:


• University degree in business or related field
• Previous experience in life claims adjudication required
• Minimum 3 years supervisory experience in a claims environment is required
• FLMI or ICA insurance designation (preferred).
• Outstanding oral and written communication skills.
• Strong analytical skills to identify efficiency opportunities through trend analysis and reporting analysis
• Proven ability to effectively coach, mentor and motivate employees.
• Attention to detail and highly organized.

TO APPLY:

If you would like to be considered for this opportunity, please apply online by visiting www.manulife.com. Click on “Careers” and then “Current Opportunities” and apply to the Supervisor, Life Claims and Disbursements – Individual Insurance #1001762 posting before June 29, 2010.

Manulife Financial is a leading Canadian-based financial services group serving millions of customers in 22 countries and territories worldwide. Operating as Manulife Financial in Canada and Asia, and primarily through John Hancock in the United States, the Company offers clients a diverse range of financial protection products and wealth management services through its extensive network of employees, agents and distribution partners. Funds under management by Manulife Financial and its subsidiaries were Cdn$446 billion (US$440 billion) as at March 31, 2010.
Manulife Financial Corporation trades as 'MFC' on the TSX, NYSE and PSE, and under '945' on the SEHK. Manulife Financial can be found on the Internet at www.manulife.com

Posted 06/21/201

 


All postings will remain for 60 days unless otherwise noted




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