Claims Director

Location: Rosemont, IL or Lincoln, NE
Salary: tbd
Level: Director
Published: April 21, 2020
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The Role

The Claims Director is responsible for strategic management and oversight of all claims related functions, including but not limited to; monitoring results, trends, litigation, compliance, reinsurance, audit, and high risk claim assessment.

  • On-going management and development of internal and external (TPA) claim procedures
  • Supervision of claim departments in three operating companies
  • Review and approval of high-risk claims and escalation both direct and reinsurance
  • Insurance Department complaint resolution and claim audit coordination
  • Compliance regulation monitoring and implementation
  • MAR control development, audit and maintenance
  • Fraud investigation and reporting
  • Claim litigation management, representation for legal proceedings
  • Vendor management administration (MIB), Medical Records, Lab analysis
  • Conversion, development, testing and implementation.
  • Claims applicable annual reporting
  • Development and Training of Claims Analysts
  • Annual Audits of Vendors’ claim departments
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Your Experience

  • Bachelor’s degree
  • 10 plus years of Insurance claim experience in the Life & Health and Annuity markets with high risk claims.
  • Exposure to both the Direct and Reinsurance markets.
  • Managerial experience of claim departments

 

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Your Skills

  • Strong communication and interpersonal skills.
  • PC literacy with knowledge of technological tools and their applications.
  • Ability to collaborate with key partners and business leaders.
  • Strong hands-on knowledge of all systems as related to area of responsibility
  • Proven track record of constant process improvement and innovation.
  • Demonstrated ability to deliver results under pressure in a tight time frame.
  • Experience with outsourcing models preferred
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About Lincoln Benefit Life

Lincoln Benefit Life is a specialist U.S. life insurance company. Our mission is to build a substantial, diversified and lasting life insurance company. Our focus is providing excellent policyholder service and delivering sustainable financial results within a well-controlled risk framework.

Lincoln Benefit Life, based in Lincoln, Nebraska, is a long-standing leader in the financial services industry. Founded in 1938, LBL built its reputation on solid life insurance and annuity product offerings, backed by high standards of customer service.

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