LTD Claims Lead (Complex Claims Unit)

Employment Opportunities; South Portland (ME); On-site; USD 65,000 - 109,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Parental leave

401(k) plan

Life & disability insurance

Job summary

OneAmerica Financial is seeking a LTD Claims Lead to manage complex long-term disability cases, coach examiners, and drive settlement initiatives. The role focuses on quality processing, collaboration with the claims team, and fraud prevention in a hybrid work environment.

The candidate will leverage FINEOS and related tools, maintaining compliance while pursuing continuous improvement across the LTD unit.

Qualifications

• 5+ Years of Long-Term Disability claims experience required.
• Proven ability to navigate claims systems and Windows software application required.
• Recommend one or more industry continuing education certificates.
• High School Diploma required, or any combination of education and experience which would provide an equivalent background.

Responsibilities

• Lead investigation and adjudication of complex LTD files.
• Coach LTD Examiners to build organizational talent and continuous learning.
• Utilize FINEOS claims system to accurately process LTD claims.
• Drive LTD settlement options by identifying fair settlement opportunities.
• Use internal/external tools to protect against potential fraud.
• Identify and drive positive change using innovative thinking.

Skills

LTD claims

Claims systems

Windows software

Education

High School Diploma

Job description

RO Portland ME
South Portland, ME 04106, USA

Description

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!

Job Summary

LTD Claims Lead (CCU) is responsible for investigation and adjudication of complex Long-Term Disability (LTD) files within the group LTD department, as well as identifying appropriate LTD settlement candidates. Coaching and development of LTD Examiners in order to build organizational talent and maintain a focus on continuous learning within the claims department.

Primary duties may include, but are not limited to:

• Successful utilization of FINEOS claims systems to accurately process LTD claims and drive quality excellence.
• Build trust and collaborative relationships with LTD Examiners in order to foster growth and improve competency.
• Drive execution of our LTD Settlements goals by identifying and facilitating fair LTD settlement options for our customers.
• Efficient and effective utilization of internal and external investigative tools to protect against potential fraud.
• Identify and drive positive change using innovative thinking and having the courage to speak up.

Work Requirements

Required Work/Education Experience

• 5+ Years of Long-Term Disability claims experience required.
• Proven ability to navigate claims systems and Windows software application required.
• Recommend one or more industry continuing education certificates.
• High School Diploma required, or any combination of education and experience which would provide an equivalent background.

#LI-SC1

Salary Band: 04C

This selected candidate will be expected to work hybrid in Indianapolis, IN.Candidates based in the Portland, ME area may be eligible to work from home, subject to business needs and evolving workplace policies. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team building and collaboration.

Consistent with applicable pay transparency laws, we disclose the compensation range for this position: $31.37 – $52.28 hourly. Actual compensation will be determined by factors such as education, experience, geographical location, and other job-related factors permitted by law. In addition to base pay, this role is eligible for an annual incentive program.

• Medical & prescription, dental, vision insurance
• Health Savings Account & Flexible Spending Accounts
• Paid Time Off
• 10 weeks 100% paid parental leave (after completing 12 months of employment)
• 401(k) Plan with company match
• Pension Plan
• Company paid life & disability insurance
• Wellness Program & Company paid employee assistance program
• Clinic access subject to location* (*Indianapolis, Charlotte, Cincinnati)

If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

Selected employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Disclaimer: American United Life Insurance Company (“OneAmerica Financial”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, gender identity), age, physical or mental disability, veteran or military status, genetic information, citizenship, or any other legally recognized protected basis under federal, state, or local law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.