(Remote) Life Claims Manager

Efinancial, LLC; Des Plaines (IL); Remote; USD 110,000 - 143,000; Full time

Job summary

A leading company in life insurance is looking for a Claims Manager to oversee claim processing and staff management. The ideal candidate will have over ten years of experience in claims adjudication and be knowledgeable in life insurance regulations. This position entails establishing claims standards, negotiating settlements, and ensuring compliance with industry best practices.

Benefits

Medical Insurance

Employer-Paid Vision

Basic Life and AD&D Insurance

Disability Insurance

401(k) Plan

PTO and Sick Time

Annual Bonus Program

Qualifications

• 10+ years of experience in claims management.
• Strong knowledge of life insurance.
• Proficient in MS Windows and Office.

Responsibilities

• Oversees intake and processing of life insurance claims
• Responsible for claims adjudication standards
• Manages negotiations of settlements

Skills

Analytical skills

Judgment

Time management

Proactivity

Confidentiality

Tools

MS Windows

MS Office

Job description

Chicago, IL (Remote)
(Remote)
Des Plaines, IL 60018, USA

Chicago, IL (Remote)
(Remote)
Des Plaines, IL 60018, USA

• Oversees the intake and processing of life insurance claims
• Responsible for establishing and maintaining Fidelity Life’s claims adjudication standards
• Determines final disposition of claims within assigned authority
• Maintains up-to-date knowledge of legislation, regulations and industry standards that pertain to insurance claims
• Recommends and implements best practices to ensure thorough and complete claim settlements, legal reviews and investigations following company policies and insurance industry regulations
• Manages certain negotiations of settlements and administration of claims in litigation
• Travels to conferences, mediations, and trials as necessary
• Manages day-to-day performance of subordinate staff and provides expert guidance and consultation to ensure proper disposition of claims based on applicable policy provisions
• Works closely with the Reinsurance Department and Reinsurers to meet applicable obligations set forth in reinsurance treaties and to assist with reinsurance recoverables as needed
• Is the liaison between Fidelity Life and the TPA’s Claims Department, and is responsible for Fidelity Life’s oversight of the TPA’s Claims Department including but not limited to claims review standards, approval limits, adherence to Fidelity Life’s claim review practices, quality assurance, etc.
• Responsible for communication and training claims staff in support of new products and/or services
• Oversees process improvements in the life claims functions

The aforementioned reflect the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Qualifications:

• Requires 10+ years of experience in adjudicating claims and managing claims staff
• Strong analytical and fair/equitable judgmental skills
• Collaborative, curious and confident
• Trusted to handle confidential matters and sensitive information with discretion
• Strategic thinker and proactive decision maker
• Proficient in MS Windows and Office programs
• Strong knowledge of life insurance

• Excellent time management, prioritization and multitasking abilities to ensure deadlines are met

We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here’s a look at what we provide:

• Salary Range:$110,245-$142,670
• Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
• Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
• Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection
• Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury
• 401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
• PTO and Sick Time accrue each pay period: Take time off when you need it
• Annual Bonus Program: Performance-based bonus to reward your hard work.

EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.

Qualifications

Skills

Behaviors

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Motivations

:

Education

Experience

Licenses & Certifications

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.