Manager - Employee Benefit Claims

Aegon; United States; Hybrid; USD 84,000 - 99,000; Full time

Benefits offered by this job

Hybrid work environment

Job summary

Aegon in the United States seeks a Claims Manager to lead a team of Claims Examiners, driving operational excellence and transforming workflows. The role partners with contact center operations and requires strong EB and group claims experience.

This hands-on leadership position focuses on restructuring processes, audits, budgeting, and cross-functional collaboration to shape the future state of the claims function. Hybrid work environment offered.

Qualifications

• Bachelor's degree or equivalent work experience required.
• Minimum of 5 years of claims experience.
• Demonstration of management ability.

Responsibilities

• Plans and organizes the work of Examiners.
• Reviews work in progress and conducts audits for quality.
• Handles personnel actions including hiring, firing, and performance reviews.
• Reviews complex cases and acts within approved authority.
• Acts as a technical resource to team members.
• Monitors performance, progress, schedules and costs.
• Involved in fraud identification and training; may testify as needed.
• Maintain claim loss and reserve records; report against standards.
• Collaborate with VP to set department budget and allocate resources.
• Maintain positive relationships with clients, agents and internal teams.
• Negotiate with outside firms and manage death claim payments.

Skills

Leadership

Claims management

Process improvement

Budgeting

Communication

Education

Bachelor's degree or equivalent

Job description

We are seeking a Claims Manager to lead a team of Claims Examiners and drive operational excellence within our claim's organization. This role will play a key part in restructuring team workflows, improving claims intake and escalation processes, and partnering closely with contact center operations. The ideal candidate brings strong employee benefits (EB) and group claims experience, along with a proven track record of leading high-performing teams and implementing process improvements. This is a hands-on leadership opportunity for someone who can hit the ground running, support organizational transformation, and help shape the future state of the claims function.

Responsibilities

• Plans and organizes the work of Examiners.
• Reviews work in progress as well as conducts audits to insure quality. Involved in State Insurance Dept. audits.
• Handles personnel actions including interviewing, hiring, firing, performance reviews, salary recommendations, and coordinates training and development. Enforce company rules fairly and impartially.
• Reviews more complex cases and settles or initiates further action within approved authority limits.
• Serves as a technical resource to subordinates and others in the organization.
• Monitors performance, progress, schedules, and costs.
• Involved in fraud identification and training. Testifies at depositions, hearings, and trials.
• Assist and maintain claim loss and reserve records and report on claims in relationship to company business and industry standards.
• In collaboration with Vice President, establish overall department budget; allocate resources within department; manage department activities to budget. Involved in various projects involving the system, acquiring business, etc.
• Maintain positive, proactive relationships with our clients, agents and other internal departments to meet service objectives.
• Negotiate and monitor relationships with outside investigative firms and death claim payments through banks.

Qualifications

• Bachelors degree or equivalent work experience required. Minimum of 5 years of claims experience. Demonstration of management ability.

Preferred Qualifications

• Leadership skills which fosters an environment of respect, support, and growth within team and peers. Problem solving and analytical skills. Excellent oral and written communication skills. Strong organizational skills. Ability to research and interpret information for the completion of claims as well as projects; self-starter; ability to multi-task.

Working Conditions

• Hybrid Environment
• Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.

Compensation

The salary for this position generally ranges between $84,000-$99,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.

Bonus Eligibility

This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

This job description is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.