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Director Appeals Review Unit

Director Appeals Review Unit

CompanyStandard Insurance
LocationRemote in USA, Pittsburgh, PA, USA, Kansas City, KS, USA, Portland, OR, USA, United States
Salary$119000 – $190250
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • Bachelor’s degree or equivalent experience
  • Minimum 5 years experience managing or leading disability claims/appeals teams, either directly or through matrixed relationships
  • STD/LTD claims experience
  • Hands-on experience with Claim Vantage or other claims processing software

Responsibilities

  • Directs unit operations and team members to meet goals for accurate and timely review of contested disability and life insurance claim decisions
  • Contributes to the development of strategies to achieve department objectives, meeting or exceeding target metrics
  • Provides oversight of the administration of The Standard’s employee disability claims and timely processing/resolution
  • Works with key stakeholders in Employee Benefits, Northwestern Mutual, IDI, CTA, and Quality Management to resolve claim escalations
  • Responsible for hiring, leading and developing the ARU team, identifying workforce needs and ensuring alignment with organizational expectations, values and vision
  • Leverages industry network and resources and serves as a company liaison and expert within the disability claim appeals industry

Preferred Qualifications

  • FLMI or CEBS (preferred)
  • IDI, Life, & AD&D experience (preferred)