Paid Leave Claim Manager - Employee Benefits (Remote)

1 week, 2 days ago
Full-time
Mid Level
Operations
Protective Life

Protective Life

Protective Life Insurance Company offers financial security through insurance and investment products, serving people and protecting families for over a century.

Insurance
1K-5K
Founded 1907

Description

  • Supervise and advise claims examiners throughout the claims adjudication process.
  • Schedule, assign, and monitor examiner workloads while resolving workflow and caseload challenges.
  • Monitor team output for consistency, regulatory compliance, service quality, and production standards.
  • Resolve escalated or complex claims issues as a subject matter expert and manage special-handling claims.
  • Collaborate with managers and other subject matter experts on unique claim issues, policies, and process improvements.
  • Report team activities, workflow concerns, priorities, and production issues to management.
  • Hire, train, coach, mentor, and provide performance feedback to claims staff.
  • Conduct timely performance evaluations and establish corrective action plans when needed.
  • Oversee daily check reports, including balancing issued checks, processing stop payments and voids, and recording overpayments and liens.
  • Participate in departmental projects and assume delegated managerial responsibilities when required.

Requirements

  • Bachelor’s degree and two years of experience as a Claims Examiner preferred.
  • Prior experience supervising, mentoring, training, or leading others preferred.
  • Knowledge of disability adjudication principles, procedures, and business practices.
  • Knowledge of federal and state laws related to leaves of absence.
  • Knowledge of medical terminology.
  • Strong supervisory, coaching, teaching, and mentoring skills.
  • Excellent interpersonal, verbal, and written communication skills.
  • Ability to organize time, set priorities, manage workload, and adapt to change.
  • Independent problem-solving ability, including interpreting and applying complex rules and regulations.
  • Proficiency in Microsoft Office, including Word and Excel.
  • Ability to work effectively in a fast-paced environment and demonstrate reliability and professionalism.

Benefits

  • Comprehensive health, dental, and vision insurance.
  • Mental health benefits and an employee assistance program.
  • Paid time off, paid parental leave, short-term disability, and a cultural observance day.
  • Pension plan and 401(k) plan with company matching.
  • Healthcare account contributions.
  • ProHealth Rewards wellness program with opportunities to earn cash rewards.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Field Coordination Manager

AssetWatch® 51-250 Construction & Engineering

AssetWatch is hiring a Field Coordination Manager to lead real-time field support and escalations, resolve operational issues, and protect customer experience for global manufacturing clients.

CRM Salesforce
9 hours, 11 minutes ago

Supply Chain & Procurement Manager

Sunrise Group 51-250 Internet Software & Services

Sunrise Group is seeking a Supply Chain & Procurement Manager to oversee materials, inventory, procurement, manufacturing coordination, logistics, and 3PL operations supporting its medical-device production and Dreem Health clinics.

ERP
9 hours, 11 minutes ago

Operations Manager

LBC Mortgage 11-50 Real Estate

LBC Mortgage is seeking an experienced Operations Manager to oversee daily operations, improve cross-functional processes, and build scalable systems for its growing U.S. mortgage brokerage.

10 hours, 26 minutes ago

Staff Technical Support Manager, Enterprise

Mozilla 251-1K Internet Software & Services

Mozilla is hiring a Staff Enterprise Support Operations Manager to build and operate its first B2B technical support function, connecting enterprise customers, external vendors, Product, and Engineering.

CRM JIRA
1 day, 9 hours ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers