Manager Claims Admin (Disability)

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives!

Job Summary

The Manager Claims Admin is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our customers and the Claims department. This individual will focus on meeting all key financial business objectives and enhance customer service levels for assigned team; effectively managing the performance of all individuals to achieve optimal productivity; maintaining clear and ongoing communications with other business partners, inside and outside of the Claims department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc.

Primary duties may include, but are not limited to:

KEY RESPONSIBILITIES:

• Consistently adhere to the documented workflow guidelines and established procedures.
• Assure consistent, quality claims handling by review of pending claim, diary and Change of Definition reports.
• Respond to and track all Insurance Department complaints.
• Actively participate in review of claims for approvals/denials.
• Conduct one-on-one meetings with all claims staff on a monthly basis to assess performance.
• Document and address all performance management issues and communicate those to the Director of Claims.
• Monitor caseloads to maintain consistency within team.
• Analyze claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc.
• Ensure the team provides excellent customer service by appropriately adjudicating claims within established service protocols.
• Respond to and document customer complaints from claimants/their representatives, clients, and policyholders.
• Ensure quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings.
• Participate in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims.
• Reach or exceed approved quality rating requirements.
• Display a high level of leadership through employee development, coaching and performance management.
• Strive to timely utilize appropriate resources across the benefits organization.
• Participate in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims

Job Requirements

Required Education and/or Certifications

• B.S. degree or a combination of equivalent related work experience and education.
• Or any combination of education and experience which would provide an equivalent background

Recommended Education and/or Certifications

• Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc.

Required Work Experience

• Leadership experience strongly preferred
• A minimum of 5 years' experience managing disability claims.
• Or any combination of education and experience which would provide an equivalent background

Salary Band: 06B

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This selected candidate will be expected to work hybrid in Indianapolis, In or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.

If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. 

Disclaimer:  OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.