Voluntary Benefit Claims Manager

New York Life Insurance Company; United States; Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry leader is seeking a Voluntary Benefit Claims Manager to join their innovative team. In this fully remote position, you'll manage a diverse caseload of voluntary benefit claims, ensuring accurate eligibility determinations and timely decisions. With a focus on critical thinking and effective communication, you'll collaborate with various stakeholders to deliver best-in-class service. This role not only offers the chance to make a significant impact on employees' lives but also provides a supportive environment for professional growth. If you're passionate about making a difference and thrive in a dynamic work setting, this opportunity is perfect for you.

Benefits

Leave Programs

Adoption Assistance

Student Loan Repayment Programs

Discretionary Bonus

Qualifications

• 2+ years of Group Benefits experience preferred.
• Strong critical thinking and analytical skills are essential.

Responsibilities

• Manage a caseload of VB claims, ensuring accurate eligibility and timely decisions.
• Communicate effectively with claimants and medical professionals.

Skills

Critical Thinking

Analytical Skills

Investigative Skills

Interpersonal Communication

Attention to Detail

Time Management

Organizational Skills

Education

High School Diploma or GED

BA/BS Degree

Tools

MS Office Applications

Job description

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Voluntary Benefit Claims Manager

Job Requisition ID:91249

Location Designation: Fully Remote

Group Benefit Solutions delivers comprehensive 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 being there 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.

Role Overview:

New York Life Group Benefit Solutions (GBS) has begun a multi-year effort to expand into the Voluntary Benefits (VB) marketplace. We are seeking talented and capable claims expertise to join our team as we look to establish a new and exciting product with a best-in-class service experience.

As a VB Claims Manager, you will be assigned a caseload of VB claims that will consist of all VB products including Hospital Indemnity (HI), Accident (AI) & Critical Illness (CI). Primary duties will include conducting thorough investigations to determine eligibility, liability and financial accuracy of all claims received.

What You’ll Do:

1. Accountable for managing a caseload of claims that will include all VB products as well as Wellness offerings where appropriate.
2. Determine eligibility of benefits by reviewing contractual language alongside medical information leading to accurate and timely claims decisions.
3. Perform multi-policy checks where appropriate to determine if New York Life claimants may be eligible for additional VB benefits.
4. Effectively communicate with claimants, employers, and various medical professionals both verbally and in writing.
5. Respond to all telephonic and email inquiries within established customer service protocols.
6. Document clear and concise claims notes based on all documentation received/reviewed.
7. Work collaboratively across both the VB claims team as well as the broader GBS claims organization.
8. Daily adherence to New York Life & corporate compliance policies, procedures & best practices.
9. Focus on ongoing development via training associated with the role & business objectives.
10. Claims Managers may be asked to aide in validating accuracy and appropriateness of technology builds within the claims system.

What you'll bring:

1. High School diploma or GED required. BA/BS degree or equivalent work experience strongly preferred.
2. 2+ years of Group Benefits experience is strongly preferred.
3. Experience administering any GBS claims product preferred.
4. Proficiency with MS office applications is required.
5. Strong critical thinking, analytical and investigative skills.
6. Effective interpersonal, written and verbal communication skills.
7. Attention to detail is critical.
8. Excellent planning, time management and organizational skills.
9. Knowledge of legal liability, insurance coverage and medical terminology is helpful.
10. Ability to build and maintain effective relationships.

This position can be offered as a full-time work from home position for candidates with appropriate experience.

Pay Transparency

Salary range: $40,000-$70,000

Discretionary bonus eligible: Yes

We provide a full package of benefits for employees, including leave programs, adoption assistance, and student loan repayment programs.

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.

Job Requisition ID:91249

About NY Life Insurance Company

Diversity & Humanity–two values that are deeply rooted in the New York Life culture.

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