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OneAmerica Financial · 1 day ago

Manager Claims Admin (Disability)

South Portland, ME

Full-time

Hybrid

Senior Level

5+ years exp

OneAmerica Financial is committed to creating more certainty for their customers and enhancing relationships. The Manager Claims Admin is responsible for supporting the Claims department by managing performance, ensuring quality claims handling, and providing excellent customer service while achieving financial objectives.

BankingCrowdfundingEducationFinancial Services

H1B Sponsor Likely

Responsibilities

Consistently adhere to the documented workflow guidelines and established procedures

Assure consistent, quality claims handling by review of pending claim, diary and Change of Definition reports

Respond to and track all Insurance Department complaints

Actively participate in review of claims for approvals/denials

Conduct one-on-one meetings with all claims staff on a monthly basis to assess performance

Document and address all performance management issues and communicate those to the Director of Claims

Monitor caseloads to maintain consistency within team

Analyze claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc

Ensure the team provides excellent customer service by appropriately adjudicating claims within established service protocols

Respond to and document customer complaints from claimants/their representatives, clients, and policyholders

Ensure quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings

Participate in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims

Reach or exceed approved quality rating requirements

Display a high level of leadership through employee development, coaching and performance management

Strive to timely utilize appropriate resources across the benefits organization

Participate in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims

Qualification

Disability claims managementLeadership experienceInsurance Claims Associate (ICA)Health Insurance Associate (HIA)Employee developmentPerformance managementCustomer serviceCommunication skills

Required

B.S. degree or a combination of equivalent related work experience and education

Or any combination of education and experience which would provide an equivalent background

Leadership experience strongly preferred

A minimum of 5 years' experience managing disability claims

Or any combination of education and experience which would provide an equivalent background

Preferred

Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc

Company

OneAmerica Financial

Glassdoor3.6

OneAmerica Financial® is a national financial services organization helping people build greater certainty for better moments, every day.

Founded in 1877

Indianapolis, Indiana, USA

1001-5000 employees

http://oneamerica.com

H1B Sponsorship

OneAmerica Financial has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (7)

2022 (7)