Team Leader - Financial Accuracy Calculation Team (FACT)

Davita Inc.; New York (NY); Remote; USD 75,000 - 105,000; Full time

Job summary

A leading insurance company seeks a FACT Team Leader for its Group Disability Claims department. This fully remote role involves directing a specialized team to ensure accurate financial operations in disability claims, fostering team growth, and enhancing service quality. The position requires expertise in disability claims management and a commitment to operational excellence.

Benefits

Comprehensive benefits package

Leave programs and adoption assistance

Student loan repayment programs

Qualifications

• Minimum of 5 years in disability claims operations.
• Expertise in handling overpayments and financial calculations.
• 2+ years in leadership or supervisory role preferred.

Responsibilities

• Supervise team member activities and ensure operational efficiency.
• Oversee calculations for overpayments and claims adjustments.
• Act as point of contact for escalated issues from stakeholders.

Skills

Analytical skills

Leadership

Communication

Critical thinking

Organizational skills

Education

Bachelor's degree in business or insurance

Job description

Location Designation: Fully Remote

Group Benefit Solutions deliverscomprehensive insurance and absence management solutions for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to New York Life's legacy of beingthere when we're needed most. Here, you'll design, implement, and support these solutions directly impacting employees' lives. At our core, we provide financial security and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions.

Role Overview:

The FACT Team Leader is responsible for directing a specialized team within the Group Disability Claims department, focusing on timely and effective collection of overpayments, collaboration and coordination with vendors, active follow up on offsets (e.g., Social Security Disability Insurance [SSDI], Workers' Compensation, pension, third party, etc.), earnings calculations, and claims-related financial coding. The FACT Team Leader ensures their team is achieving operational goals of precise and timely execution of financial components within the claims process while maintaining compliance with regulatory and internal standards. This role plays a vital part in supporting the organization's commitment to delivering excellent service and ensuring financial integrity in disability claims handling.

What You'll Do:Leadership & Team Management

• Provide day-to-day supervision, guidance, and coaching to group of team members
• Support the development and ongoing oversight of clear goals and expectations
• Regularly collaborate across FACT with a focus on overall success.
• Provide transparent communication so teams can make informed decisions.
• Oversee workload distribution to maintain operational efficiency and meet key performance metrics.
• Conduct regular performance evaluations, support team development, and foster employee engagement.
• Develop high performing team by providing growth opportunities, coaching and candid feedback to help others continue to learn and grow.
• Cultivate a culture of accountability, inclusion, and continuous improvement.
• Work closely with FACT Director on customer and organizational opportunities.
• Demonstrate Enterprise Mindset by acting in the best interest of the entire company

Operational Oversight

• Ensure overpayments are accurately calculated and recovered in accordance with group policy provisions and legal requirements.
• Supervise the proper application and recalculation of various offsets (e.g., SSDI, retirement, workers' compensation, etc.).
• Oversee earnings calculations and confirm that all claims are accurately documented in internal systems.
• Collaborate with audit, finance, legal, and compliance teams to uphold data accuracy and mitigate risk.

Process Improvement & Quality Control

• Analyze operational trends and root causes in overpayment and offset issues.
• Recommend and lead process enhancements to reduce errors and increase productivity.
• Empower decision-making at the right level while promoting accountability and ownership of outcomes.
• Develop, monitor, and report on quality assurance metrics; conduct audits to ensure adherence to established guidelines.

Stakeholder Collaboration

• Act as the primary point of contact for escalated issues from internal teams and external stakeholders.
• Liaise with policyholders, brokers, and customer service teams to explain financial calculations, overpayments and offset amounts clearly and professionally.
• Represent the team in strategic initiatives, cross-functional meetings, and special projects.

What You'll Bring:Education & Experience

• Bachelor's degree in business, insurance, or a related field, or equivalent professional experience.
• Minimum of 5 years in disability claims operations, with demonstrated expertise in handling overpayments, offsets and financial calculations.
• 2+ years of insurance industry people leadership or supervisory experience preferred.

Skills & Competencies

• In-depth understanding of group disability insurance and the financial aspects of claims processing.
• Proficient in claims and financial systems used for adjudication and reconciliation
• Strong analytical, organizational, and critical thinking abilities.
• Demonstrated ability to lead and develop high-performing teams in a fast-paced environment.
• Excellent verbal and written communication skills, with an ability to simplify complex topics for a diverse audience.
• High emotional intelligence and effective conflict resolution capabilities.

Preferred Certifications

• Associate, Life and Health Claims (ALHC), Fellow, Life Management Institute (FMLI) or other relevant industry designations.

It is recommended that all qualified candidates apply to this posting as soon as possible. Residents of Colorado are hereby notified that the deadline to apply is two weeks from the Posting Date listed above.

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Pay Transparency

Salary range:$75,000-$105,000

Overtime eligible:Exempt

Discretionary bonus eligible:Yes

Sales bonus eligible:No

Actual base salary will be determined based on several factors but not limited to individual's experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to base salary, employees may also be eligible to participate in an incentive program.

Actual base salary within that range will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location.In addition to base salary, employees may also be eligible to participate in an incentive program.

Our Benefits

We provide a full package of benefits for employees - and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and outside of work.Click hereto discover more about our comprehensive benefit options or visit our NYL Benefits Site.

Our Diversity Promise

We believe in a diverse workforce because it is our mission to advocate for the financial security and success of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership.

Recognized as one of Fortune's World's Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by theFoundation.We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at New York Life, please visit the Careers page of www.NewYorkLife.com.

Job Requisition ID:92161

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