Assistant Director DI Technical Claims - Hybrid/Remote

Northwestern Mutual; Franklin (WI); Remote; USD 84,000 - 157,000; Full time

Job summary

Join a forward-thinking company that values client interests and fosters a culture of belonging. As a technical leader in the Disability Income Claims Division, you will guide the administration of claims, ensuring accuracy and fairness while driving process improvements. With a focus on mentoring and developing your team, you will play a crucial role in establishing standards and best practices. This position offers the opportunity to influence the future of claims handling in a dynamic environment, where your expertise will directly impact clients' lives. Embrace a career with a best-in-class company that prioritizes growth and innovation.

Benefits

Flexible Work Schedules

Concierge Service

Comprehensive Benefits

Employee Resource Groups

Qualifications

• 8-10 years of experience with insurance products and claims processes.
• Demonstrated capability as a technical expert and leader.

Responsibilities

• Collaborate with claims leadership to improve DI claims administration.
• Direct projects to evolve technical guidelines for claims administration.

Skills

Insurance Products Knowledge

Claims Processes

Leadership

Negotiation

Conflict Management

Communication Skills

Project Leadership

Education

College Degree in Business or Related Field

Job description

Summary:

Provide technical leadership and direction to the Disability Income Claims Division to ensure accurate and fair administration of claims.

Primary Duties & Accountabilities:

1. Collaborate with claims leadership to establish a strategic vision for future Disability Income (DI) claims administration, including identifying and facilitating claim handling process improvements and technological enhancements.
2. Direct and lead projects to evolve the technical guidelines and procedures that serve as the framework for DI claims administration.
3. Establish technical proficiency standards for claims administration and to support effective training, coaching, and mentoring of claims analysts and technical leaders. Provide feedback and develop the skills and expertise of team members.
4. Proactively work to influence and motivate others while creating a climate that fosters customer focus and continuous learning and improvement.
5. Develop and maintain claim handling standards and best practices, ensuring compliance with company philosophy, contract language and provisions, and state laws.
6. Provide expertise in handling complex, sensitive, contestable, or large benefit amount cases. Oversee claim denial and recovery processes, and manage complaints, appeals, and highly contentious claims, including disability and life waiver of premium claims.
7. Resolve claim conflicts through formal and informal dispute resolution practices. Collaborate with the Law Department on lawsuits, depositions, and trial representations. Establish negotiation parameters and exercise judgement in settlements. Serve as liaison between claim staff and the Law Department on a wide variety of legal issues.
8. Serve as a product line subject matter expert for new contract introductions and projects impacting claim handling.
9. Represent the disability claim operation within the industry and act as a liaison within the home office.

Knowledge, Skills & Abilities:

• College degree in business or related field
• Eight to ten years of experience with insurance products and claim processes and procedures
• Demonstrated capability as a technical expert and leader, with a proven ability to lead, mentor, and develop others, and work effectively across teams
• In-depth knowledge of insurance products, underwriting processes, medical and financial information, claim philosophy, and claim handling practices
• Knowledge of and experience in managing claim legal issues and the litigation process
• Excellent judgment and decision-making skills
• Experience in negotiation and conflict management
• Excellent verbal and written communication skills, including those for liaising with policyowners, legal counsel, financial experts, field members, and home office personnel
• Experience in project leadership or similar efforts

Compensation Range:

Pay Range - Start: $84,350.00

Pay Range - End: $156,650.00

Note: Compensation is determined based on various factors including skills, education, experience, location, and market conditions. For additional details on location-based pay structures, please click here.

Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!

We are an equal opportunity/affirmative action employer. All qualified applicants will receive consideration regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status.

If you work or would be working in California, Colorado, New York City, Washington, or outside of a corporate location, please click here for information on compensation and benefits.

FIND YOUR FUTURE

We're excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging.

• Flexible work schedules
• Concierge service
• Comprehensive benefits
• Employee resource groups