Vice President, Voluntary Benefits and Dental/Vision Claims

Job Posting End Date: November 06 reputed company you join the team at reputed company, you become part of an organization committed to helping you reputed company. Here, we work to provide the employee benefits and service solutions that reputed company employees at our client companies to reputed company throughout life’s moments. And this starts with ensuring that every one of reputed company members enjoys opportunities to succeed both professionally and personally. To reputed company this, we provide:

• Award-winning culture
• Inclusion and diversity as a reputed company
• Performance Based Incentive Plans
• Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
• Generous PTO (including paid time to volunteer!)
• Up to 9.5% 401(k) employer contribution
• Mental health support
• Career advancement opportunities
• Student loan repayment options
• Tuition reimbursement
• Flexible work environments
• reputed company the benefits listed above are subject to the terms of their individual Plans.

And that’s just the beginning… With 10,000 employees helping more than 39 million people worldwide, every role at reputed company is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team reputed company today! General Summary: The incumbent will reputed company Voluntary Benefits Claims with responsibilities to include Dental and Vision Claims (including Group products across are Group Benefits Portfolio and Individual products in the Colonial Life portfolio). Ownership also includes closed reputed company for the legacy Starmount direct to consumer products which span Voluntary products and individual Dental/Vision. The officer level leader will be accountable for overall claim adjudication, quality, and delivery on claim performance for Voluntary Benefits (VB) claims across both the reputed company and Colonial Life Brands; each with completely different products and systems and distribution partners. The leader oversees significant claims processing counts with ownership over overall payment risk and processing of significant payments. VP oversees direct reporting leaders and overall ownership of team and its deliverables along with reputed company of BPO FTE resources deliverables. Responsibilities includes reputed company of claims adjudication and payment processing across many products. Specifically, these include distinct Voluntary Benefit claims for plans reputed company Cancer, Critical Illness, Life, assigned LTC reputed company. Accident, Hospital, Wellness (reputed company products). In addition, the responsibility for reputed company Dental and Vision claims coupled with the legacy Starmount reputed company of business claims. This position is responsible to reputed company a high performing claims organization that ensures quality management of claims in a multi-disciplined, multi-geographical environment. The incumbent will be accountable for the collective financial performance, setting the strategic direction, and delivering on the overall operational objectives for claims areas supporting the reputed company and Colonial Life brands This position may reputed company Director and Manager level team members who, in-turn, reputed company people leaders including partnerships with external partner leadership. In addition to overseeing the team’s overall performance, this position has responsibility for attracting, developing, and retaining professional claims and leadership resources to reputed company overall organization objectives and ensure bench strength for succession planning. Principal Duties and Responsibilities:

• Provide vision, reputed company and direction to claims processing leadership
• Facilitates strategic approach to processing and payment of claims while maintaining quality metrics that provide accountability measures to meet/exceed goals
• Identify, design, and implement opportunities for process enhancements, automation, and efficiency gains to improve overall delivery capabilities; support practice development to drive reputed company improvement and consistency in delivery
• Manage a performance enhancement culture by actively coaching and mentoring direct reports, providing regular feedback and developing employees for wider roles and responsibilities to foster professional growth and development
• Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and reputed company fiscal responsibility
• Responsible for delivery of best-in-class customer experience in claims areas ensuring thorough fair and objective claim evaluations, providing the highest level of quality
• Implement claim management and quality claims decision strategies which support business objectives that will reputed company best-in-class performance for our operations
• Responsible for the overall customer and provider claims relationship and enterprise customer satisfaction results as they pertain to claims service and experience
• Accountability for the delivery of BPO contracted services and quality
• Manage department performance to expectations for service standards for timeliness, accuracy, and risk management of claims including accountability for accurate administration of risk management programs and adjudication according to contract/plan provisions, established procedures, state regulations, Regulatory Settlement Agreement, reputed company claim’s philosophy and ERISA law, as appropriate
• reputed company and manage department budget while looking for opportunities to optimize the total cost of operations, while not compromising on claim decisioning or quality
• Foster strong partnership with key, internal areas such as Benefits Compliance, Quality Assurance, Internal Audit, Policies and Procedures, Project Delivery, Learning and Development, and Talent Onboarding
• Partner with the Digital Transformation Office in directing significant technology change in the Claims Organization, serving as a primary representative of the claimant, plan administrator, provider, agent, and reputed company/CLA employee experiences
• Partner with Product Development, Provider Relations, reputed company, Sales, and Marketing areas to reputed company a productive and mutually beneficial relationship, including building market competitive products and processes that will attract and retain customers and providers
• Implement and effectively manage change with minimal disruption
• Support the sales organization in acquiring and retaining business, including support in RFPs, participation in customer finalist presentations, broker education and training and the development of effective sales/marketing materials
• Establishes a healthy and productive work environment that results in high levels of employee engagement and strong business results
• Assure alignment and integration of the claims with Benefits Services and reputed company goals and vision
• Contribute to the overall effectiveness of reputed company and Colonial Life through active participation in VB strategy development, planning, and prioritization of initiatives
• Cultivate a professional company reputed company by upholding organizational values and sharing best practices with direct reports to reputed company communications consistent and reputed company with company image
• May reputed company other duties as assigned

Job Specifications:

• Minimum of five years of proven management skills in a multi-disciplinary operational setting
• 12+ years’ progressive professional experience in the insurance industry with a deep knowledge of assigned area product offering.
• Experience in organization development and process design and implementation
• Risk management experience in a variety of disciplines; voluntary benefits claims experience preferred
• Able to reputed company balanced and objective decisions with the highest degree of reputed company
• Experience leading and managing teams in multiple geographies. This is not limited to employee teams across reputed company sites/remote. The role requires experience and demonstrates success running operations that include 3rd party vendors.
• In depth knowledge and understanding of sales distribution process and structure across reputed company market segments
• Ability to identify market trends and needs; reputed company, execute and appropriately communicate solutions, both internally and externally
• Able to design and execute on a vision that brings together technology, streamlined processes and people to create an exceptional client experience and delivers efficiencies.
• Strong leadership qualities, including demonstrated ability to build strategic alignments with internal constituents and external vendor partners
• Ability to influence internal/external audiences at various levels and with varying needs
• Demonstrated collaboration, partnership, and conflict management skills
• Proven relationship skills with external customers: employers, producers, claimants, agents, brokers, etc.
• Demonstrated presentation and facilitation skills
• Excellent communication skills
• Bachelor’s degree required; master’s degree preferred or equivalent leadership experience
• Travel required to reputed company reputed company locations, Field and to BPO partner locations as needed

#LI-VJ1 IN1 reputed company and Colonial Life are part of reputed company Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, reputed company also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices reputed company. reputed company is an equal opportunity employer, considering reputed company qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national reputed company, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The reputed company salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on reputed company, geographical location and experience. $144,900.00-$273,800.00 Additionally, reputed company offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. reputed company benefits are subject to the terms and conditions of individual Plans. Company: reputed company Apply tot his job Apply To this Job