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Claims Manager - L&H in Dallas, TX at QuestPro Consultants

Date Posted: 1/18/2019

Job Snapshot

  • Employee Type:
  • Location:
    Dallas, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

The Manager, Claims is accountable for ensuring that all claims are properly adjudicated and that all payments are made on a timely and accurate manner. The leader ensures that claimants and advisors are pro-actively informed during the process and that decisions are communicated in an empathic manner. In addition, you will be responsible to develop team members and ensure there is a continuous learning program in place. The successful candidate will be responsible for fostering a high performance team environment where claims examiners are empowered and supported in their decision making.

Roles and Responsibilities

  • Provide vision, strategic planning and thoughtful solutioning expertise for the enterprise and functional group.

  • Develop direct reports by fostering and supporting career development, motivating, engaging and capitalizing in employee strengths.

  • Build cross-functional partnerships with other business units and teams throughout the organization to deliver on business results and manage risk.

  • Recruit high potential talent for current and future responsibilities.

  • Establish a highly effective team with positive morale.

  • Build strong relationships with the sales force, customers and other business partners, including Legal, Special Investigative Unit (SIU), Actuarial, Underwriting and Compliance.

  • Work in partnership with members of senior leadership team to ensure priorities are clear and are in line with business strategies. 

  • Provides direction on litigated claims and appeals; coaches on complex decisions.

  • May perform quality assurance and review audits; reviews data to spot trends

  • Bachelor’s Degree, Masters preferred
  • 10+ years’ experience in life insurance and/or annuities, either underwriting or claims
  • Minimum of 5 years in a leadership role, underwriting and/or claims management preferred
  • A high level of attention to detail and strong people skills
  • Ability to forge strong working relationships with business leaders
  • Must be able to manage competing demands while being extremely adaptable and flexible
  • Excellent project management, writing and oral communication skills are required
  • Team player approach with the ability and desire to contribute and help transform the Claims team---continuous process improvement in SOPs
  • Must have excellent professional presentation and interpersonal skills, and the ability to interact and engage all levels of management/leadership
  • Strong business acumen and organizational agility; critical thinker and results oriented
  • Must be able to pass a background check