Aetna Manager, Group Disability Claims 46316BR in South Portland, Maine

Req ID: 46316BR

POSITION SUMMARY

We are looking for a dynamic claims professional to join our Short Term Disability and Leave of Absence team! In this position, you would be responsible for managing a group of individuals who provide timely, accurate claim decisions and excel in providing top notch service to our clients and members.

Manages the disability benefits portfolio to ensure strategies are developed, resources are managed, and appropriate decision-making occurs to meet business objectives.As a manager, this position also handles non-contestable claims; conducts technical investigations of complex contestable claims, accidental, and disability claims arising under disability insurance.

Fundamental Components:

-Hires, mentors, coaches, develops, trains, evaluates, compensates and monitors/disciplines staff to provide effective claim management services while ensuring quality standards are met.

-Ensures that performance evaluations and compensation decisions for employees are not influenced by the financial outcomes of claims decisions.

-Has responsibility for claim results by promoting competent claim and risk management. Has responsibility for claim financial results by promoting competent claim and risk management of multi-million dollar book of business.

-Challenges and motivates staff to be responsive to performance expectations in a rapidly changing work environment.

-Assesses business requirements and assigns team resources to support new business implementations; collaborates with implementation manager, plan sponsors, consultants and sales to ensure strong customer satisfaction and meet product objectives.

-Serves as an agent to drive change across the organization; communicates workflow results, ideas and solutions.

-Initiates, develops and manages quality improvement and claim management programs.

-Incorporates unit results into performance evaluations and reward systems.

-Develops and participates in presentations to internal and external customers.

-Assesses individual and team performance on a regular basis and provides candid and timely developmental feedback. --Develops training plans and ensure training needs are met.

-Establishes a clear vision aligned with company values. Motivates others to balance customer needs and business success.

-Coordinates resources to ensure a successful case installation of new products and services.

-Maximizes sales by articulating how Aetnas capabilities can contribute to constituents long-term strategies.

BACKGROUND/EXPERIENCE required:

2-5 years experience managing disability claims.

-Experience performing multiple calculations with a high degree of accuracy.

-Experience working in a multi-system (mainframe and Windows) environment.

-Well organized. ability to prioritize tasks to meet critical deliverables in a timely manner

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional -Short-Term and LOA Disability Claims//3-5 Years

REQUIRED SKILLS

General Business/Applying Reasoned Judgment/MASTERY

3-5 years of STD and LOA claims experience

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

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Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Claim