Claims Manager - Leave & Disability
Core
Oversees administration and management of disability and leave claims, ensuring regulatory compliance and leading a team of claims professionals.
Role type
Senior IC claims manager (disability & leave)
Builds
Efficient and compliant claims processing workflows for the Workplace market
Domain
Insurance / Employee Benefits
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Disability claims management, Leave laws/regulations (FMLA, ADA, PFML, PWFA), Team leadership, Complex claim adjudication, Process development, KPI monitoring, Resource management
Preferred skills
CDMP certification, CCP certification, Change management, Technology sourcing for process improvement
Technologies
None stated
Responsibilities
Oversee administration and management of disability and leave claims; Lead and manage a team of claims professionals; Evaluate complex claims and make informed decisions; Deliver customer service to claimants; Develop and implement claims policies and procedures; Collaborate with global partners and internal stakeholders; Monitor and report on key performance indicators (KPIs); Facilitate regular audits and reviews of claims processes; Manage demand and capacity to ensure optimal resource allocation
Seniority
Manager, hands-on leadership
