Senior LTC Claims Lead - Remote, Client & Audit Expert

RemoteFetch; Atlanta (GA); Remote; USD 125,000 - 140,000; Full time

Benefits offered by this job

Health insurance (PPO/HDHP)

Vision & dental insurance

Life & AD&D insurance

Disability insurance

Voluntary benefits package

401k with employer match

Paid time off & milestones

Bonus eligibility

Job summary

Munich Re US is seeking a senior Long-Term Care (LTC) claims professional to lead client-facing LTC initiatives and complex claim adjudication. The role emphasizes industry expertise, governance, and collaboration with leadership across internal teams.

You will manage high-liability LTC claims, assess compliance with guidelines and treaties, and contribute to audits, training, and client-facing resources while traveling as needed to support engagements.

Qualifications

• 8+ years of progressive responsibility in Long-Term Care claim adjudication.
• Experience managing client-facing claim responsibilities and presenting findings to clients and leadership.
• Experience leading or participating in external claim audits and audit reporting.

Responsibilities

• Serve as a client-facing LTC claim leader with industry and medical impairment expertise.
• Manage complex, high-liability LTC claims requiring advanced analysis.
• Evaluate adherence to claim guidelines, treaty requirements, and best practices.
• Lead or participate in external claim audits; plan, review files, discuss with clients, report findings.

Skills

LTC claim leadership

Client relationship management

Audits & audits reports

Training development

Industry presentations

Problem solving

Communication (written & oral)

Education

Bachelor's Degree

ICA/LOMA designation

Job description

Munich Re US is seeking a senior Long-Term Care (LTC) claims professional to lead client-facing LTC initiatives and complex claim adjudication. The role emphasizes industry expertise, governance, and collaboration with leadership across internal teams.

You will manage high-liability LTC claims, assess compliance with guidelines and treaties, and contribute to audits, training, and client-facing resources while traveling as needed to support engagements.