Paid Leave Claim Manager – Employee Benefits

Jobtailor; Deutschland; Remote; EUR 60.000 - 80.000; Vollzeit

Zusammenfassung

ShelterPoint is seeking a Claims Supervisor to oversee and guide a team of claims examiners through the adjudication process. You will schedule workloads, monitor output, and ensure adherence to regulatory and service standards.

This role requires strong supervisory, coaching, and communication skills, with a focus on process improvements and staff development. Experience in disability adjudication and leaves of absence laws is valued.

Qualifikationen

• Bachelor’s degree preferred with two years experience as a Claims Examiner.
• Experience supervising, mentoring, training and leading others preferred.
• Ability to organize time, set priorities, and manage workload.
• Knowledge of disability adjudication principles, methods, procedures and current practices
• Knowledge of leaves of absence laws and regulations
• Knowledge of medical terminology
• Strong feedback delivery and reliability
• Ability to adapt to change

Aufgaben

• Supervise and advise claims examiners throughout the adjudication process.
• Schedule, assign and oversee claim examiner workloads.
• Monitor team output for compliance and service standards.
• Ensure production goals and quality standards are met or exceeded.
• Resolve complex issues and advise on special-handling claims
• Consult with managers and SMEs on escalated issues
• Provide management feedback on workflow and priorities
• Report team activities to management verbally and in writing
• Promote prompt, accurate service to customers
• Participate in projects and department assignments
• Interview, select and train claims-processing staff
• Coach, mentor and provide performance guidance to examiners
• Identify and lead training and staff-development initiatives
• Conduct performance evaluations and corrective action plans
• Assume delegated Manager responsibilities when needed

Kenntnisse

Supervisory skills

Coaching

Mentoring

Interpersonal skills

Communication skills

Time management

Ausbildung

Bachelor’s degree

Tools

Microsoft Office

Jobbeschreibung

• Supervise and advise claims examiners throughout the adjudication process
• Schedule, assign and oversee claim examiner workloads
• Monitor team output for consistent processes, regulatory compliance and service standards
• Ensure production goals and quality standards are met or exceeded
• Resolve complex issues and serve as a subject matter expert for special-handling claims
• Consult with managers and SMEs on escalated or unique claim issues
• Provide management feedback on workflow, priorities and production problems
• Recommend and implement policy, programmatic and business-process changes
• Report team activities to management verbally and in writing
• Promote prompt, accurate and courteous service to internal and external customers
• Participate in projects and departmental assignments
• Initiate and verify daily check reports; process stop payments, voids, overpayments and liens
• Interview, select and train claims-processing staff
• Coach, mentor and provide performance guidance to examiners
• Identify and lead training and staff-development initiatives
• Conduct timely, constructive performance evaluations
• Establish and implement corrective action plans
• Assume delegated Manager responsibilities when the Manager is unavailable

Requirements

• 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).
• Represent the ShelterPoint brand with the utmost professionalism

Core Competencies

Demonstrates expertise in supervising and mentoring claims examiners while ensuring compliance with disability adjudication principles and federal and state laws. Proficient in managing workloads, providing constructive feedback, and implementing process improvements to enhance team performance and service standards.

Highest-signal resume keywords

• Claims Examination Supervision
• Disability Adjudication Knowledge
• Performance Management
• Regulatory Compliance
• Microsoft Office Proficiency

Hard Skills

• Claims Adjudication
• Policy Implementation
• Workflow Management
• Training and Development
• Performance Evaluation
• Problem Solving
• Medical Terminology
• Time Management
• Feedback Delivery
• Process Improvement

Soft Skills

• Interpersonal Skills
• Coaching
• Mentoring
• Communication Skills
• Adaptability

Industry Keywords

• Federal Laws
• State Laws
• Leaves of Absence
• Service Standards
• Claims Processing