Group Insurance Team Lead, Claims

About the role

The Team Lead, Short-Term Disability/Absence and Paid Leave Claims will lead a team to achieve customer service and claims management excellence. This role involves ensuring accuracy of benefits paid on disability claims, managing offsets, developing action plans, building and maintaining customer relationships, providing support and training, driving engagement and continuous improvement, and ensuring compliance with risk identification, assessment, and monitoring.

Responsibilities

• Lead the team to achieve customer service and claims management excellence.
• Ensure accuracy of benefits paid on disability claims based on the deductible sources of income (offsets) and other contractual provisions outlined within the certificates.
• Monitor, track, and analyze reporting to ensure appropriate offset management of claims.
• Develop effective action plans that result in improved team and individual performance.
• Build and maintain internal and external customer relationships.
• Provide direct reports with ongoing support, appropriate training, positive/constructive feedback, coaching, and recognition in an inclusive manner.
• Drive employee engagement and continuous process improvement to remove barriers and enhance team effectiveness.
• Provide for business continuity by identifying potential successors and emerging leaders for the key leadership positions on your teams.
• Ensure team is in compliance with their obligations regarding risk identification, risk assessment, and risk monitoring, control, and escalation.

Requirements

• Minimum of three years in a Group Insurance Operations or claims experience required.
• A proven understanding of STD/Absence/Paid Leave claim management processes and offset management required.
• Strong critical thinking, mathematical, problem solving, decision making, and analytical skills required.
• Detail oriented with solid interpersonal skills.
• Prior coaching, mentorship or leadership skills is a must.
• Ability to problem solve independently.
• Proven focus on continuous improvement.
• Ability to collaborate across business.
• Strong communication (verbal and written) and time management skills required.
• Proficiency in Teams, MS Word, and Excel.

Qualifications

It'd Be a Plus If You Had:

• Bachelor’s Degree preferred.
• Direct supervisory experience.

Skills

Skills Required:

• Group Insurance Operations or claims experience.
• Understanding of STD/Absence/Paid Leave claim management processes and offset management.
• Critical thinking, mathematical, problem solving, decision making, and analytical skills.
• Detail oriented with solid interpersonal skills.
• Customer Service skills.
• Coaching, mentorship, or leadership skills.
• Problem solving independently.
• Focus on continuous improvement.
• Collaboration across business.
• Communication (verbal and written) and time management skills.
• Proficiency in Teams, MS Word, and Excel.

Benefits

Prudential offers a comprehensive benefits package including:

• Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.
• 401(k) plan with company match (up to 4%).
• Company-funded pension plan.
• Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.
• Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
• Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.
• Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.
• Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance.

Pay

$89,000.00 to $147,000.00

Schedule

N/A