What are the responsibilities and job description for the Manager, Appeals position at Lincoln Financial?
Alternate Locations: Work from Home; Atlanta, GA (Georgia); Boston, MA (Massachusetts); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)
Work Arrangement: Work from Home
Relocation assistance:: is not available for this opportunity.
Pay Range: $63,100 - $137,900
Bonus Potential: 10%
Requisition #: 68835
The Role at a Glance
We are excited to bring on an Appeals Claims Manager to join our Group Protection Claims team in our Omaha, NE; Dover, NH; Atlanta, GA; Charlotte, NC; Phoenix, AZ or Boston, MA office.
Background Details
On the Group Protection Appeals Team, you will provide leadership, coaching and development to your team of roughly 8-10 Appeals Specialist, Consultants, and Associates.
On the Group Protection Appeals Team, you will provide leadership, coaching and development to your team of roughly 8-10 Appeals Specialist, Consultants, and Associates.
As an Appeals Manager in our Group Protection Claims organization, you will be responsible for overseeing full, fair, and timely appeal handling for various products, including Disability, Life, Worksite, and Dental claims. You will ensure your team is compliant with all internal processes along with external state and federal regulations. You will be responsible for ensuring your team is meeting department goals. You will build and foster effective relationships across various departments within Lincoln's Group Protection Organization.
What you’ll be doing
- Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
- Manages and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
- Establishes and implements individual and team priorities, performance goals and objectives to ensure completion of responsibility for their assigned area(s) of responsibility.
- Provides training and development opportunities, including stretch assignments, for team members and gives honest and open feedback to aid in the development of talent.
- Manages and evaluates individual/team performance and takes appropriate action to meet and/or exceed performance standards for assigned area(s) of responsibility.
- Identifies and recommends process improvements that significantly reduce workloads or improve quality across for their assigned area(s) of responsibility.
- Serves as a resource to team members and internal/external stakeholders on more complex assignments/projects for their assigned area(s) of responsibility.
- Manages assigned area(s) of responsibility to ensure workloads are appropriately balanced among team members.
- Ensures that top talent is hired and retained for their assigned area(s) of responsibility.
- Builds organizational capability within their assigned area(s) of responsibility.
- Manages a team and processes for their assigned area(s) of responsibility.
- Manages the processing and administration of all aspects of more complex claims for their assigned area(s) of responsibility ensuring accurate and timely claim management.
- Approves and makes more complex claim management related financial decisions consistent with company guidelines for assigned area(s) of responsibility.
- Provides more complex technical guidance to claim team members on claims adjudication for assigned area(s) of responsibility.
- Reviews and resolves more complex escalated issues and concerns for assigned area(s) of responsibilities.
- Identifies and communicates claims trends and issues to management. Develops mitigation plans.
- Ensures all assigned area(s) of responsibility claims, eligible or ineligible for payment, conform to quality, production standards and specifications.
- Collaborates with sales offices to ensure effective service delivery of claims for assigned area(s) of responsibility.
- Identifies process inefficiencies and cost reductions. Develops and recommends mitigation plans.
- Ensures claims processing is consistent with applicable policies, procedures and department guidelines for assigned area(s) of responsibility.
- Monitors and evaluates overall metrics for team productivity and takes appropriate action to meet or exceed standards.
What we’re looking for
Must-have experience (Required):
- 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) in Insurance (Minimum Required)
- 5 Years of experience in Claims that directly aligns with the specific responsibilities for this position, including 2 years of managerial, supervisory, and/or demonstrated leadership experience (Required)
Travel Requirements
- Travel Type: Regional Domestic
- Travel Amount: up to 5%
What’s it like to work here?
At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.
What’s in it for YOU:
- A clearly defined career framework to help you successfully manage your career
- Leadership development and virtual training opportunities
- PTO/parental leave
- Competitive 401K and employee benefits
- Free financial counseling, health coaching and employee assistance program
- Tuition assistance program
- A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
- Effective productivity/technology tools and training
Work Arrangement
Work from Home : Employees will work fully from home. Their job will not require the employee to come into the office, unless for special circumstances.
Lincoln will evaluate the following when setting the successful candidate's wage rate:
- Prior work or industry experience.
- Education level to the extent education is relevant to the position.
- Unique skills
About The Company
Lincoln Financial Group, a Fortune 200 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas — Life Insurance, Annuities, Retirement Plan Services and Group Protection — focus on supporting, preserving and enhancing over 17 million customer’s lifestyles and retirement outcomes.
Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $324 billion in end-of-period account values as of June 30, 2021.
Ranked one of the Best Large Employers in America and Best Employers for Women by Forbes magazine as well as one of Newsweek’s Most Responsible Companies, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.
Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $324 billion in end-of-period account values as of June 30, 2021.
Ranked one of the Best Large Employers in America and Best Employers for Women by Forbes magazine as well as one of Newsweek’s Most Responsible Companies, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.
Lincoln is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Lincoln Financial Group is a committed corporate citizen included on major sustainability indices including the Dow Jones Sustainability Index North America and FTSE4Good. Dedicated to diversity and inclusion, we earned perfect 100 percent scores on the Corporate Equality Index and the Disability Equality Index. Follow us on Facebook, Twitter, LinkedIn, and Instagram. Sign up for email alerts at http://newsroom.lfg.com
Be Aware of Fraudulent Recruiting Activities
If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.
Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.
Additional Information
This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.
Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.
This Employer Participates in E-Verify. See the E-Verify notices.
Este Empleador Participa en E-Verify. Ver el E-Verify avisos.
Nearest Major Market: Omaha
Nearest Secondary Market: Council Bluffs
Salary : $63,100 - $137,900
Office Manager / Judicial Assistant - Chambers of a U.S. Circuit Judge
United States Court of Appeals for the Fourth Circuit -
Alexandria, VA
Care Manager - Appeals
Blue Cross Blue Shield of Minnesota -
Eagan, MN
Manager, Appeals & Grievances 2
Ignyte AI (Point32Health) -
Canton, MA
