Remote Team Leader, Absence Claims Management
Location: Remote
Positions Available: 2
Team Size: Approximately 12 members
Key Requirements:- Experience as a Team Lead, Manager, or Supervisor
- Strong performance management skills
- Ability to provide tough love and maintain a firm leadership style
- Proficiency in FMLA and STD management
Job Description:The Team Leader, Absence Claims Management, is responsible for leading a team of Absence Management Case Managers to achieve results within the team and the organization. This role involves setting objectives, communicating progress, and holding staff accountable for quality assurance, turnaround time, operational efficiency, and best practice standards. The Team Leader will assist staff with career development and progression, encourage candor, and challenge the status quo to continuously improve operations. Collaboration with internal cross-functional areas for program direction, goal setting, service delivery, and action plan development is essential.
Responsibilities:- Ensure accurate adjudication of FMLA, STD, State, and PFL claims according to plan provisions and guidelines.
- Manage and resolve issues related to claim administration, cost containment, reports, quality control, and complex customer issues.
- Enhance the overall customer experience by working with external clients.
- Communicate team status and performance to leadership.
You Will:- Partner with leadership to develop and communicate team objectives and performance goals.
- Manage direct reports' performance through coaching and performance improvement plans.
- Develop employee goals to promote career growth and enhance knowledge.
- Collaborate with internal business partners including Short Term Disability, Long Term Disability, Service, Sales, and Account Management.
- Create action plans based on employee engagement survey results.
- Review and analyze reports on team productivity to identify trends and training opportunities.
- Own client relationships and address service issues.
- Prioritize the customer/client experience in daily interactions.
- Identify and implement continuous improvement opportunities.
- Empower staff to submit process improvement ideas.
- Support claims initiatives and act as a change leader for project rollouts.
- Schedule and facilitate team meetings and individual touchpoints.
- Mentor, coach, supervise, and develop direct reports.
Qualifications:- Bachelor's degree in a related field or equivalent relevant disability work experience; integrated absence management preferred.
- 5+ years of disability claims experience.
- 3+ years of demonstrated leadership experience.
- Extensive knowledge of disability products, business rules, and procedures.
- Familiarity with state and federal regulations.
- Strong oral, written, and presentation skills.
- Proven organizational and time management skills.
- Excellent math aptitude and analytical skills.
- Proficiency in Microsoft Office applications.
Leadership Behaviors:- Team Leadership: Hire, develop, and retain top talent. Recognize and reward team members. Communicate effectively and lead through ambiguity.
- Problem Solving: Be creative and take calculated risks. Learn quickly from mistakes and model this behavior for the team.
- Customer/Client Focused: Act with urgency to resolve customer issues and prioritize the customer experience.
- Results Focused: Drive the team to achieve results and focus on desired outcomes despite operational challenges.
Estimated Min Rate: $60,000
Estimated Max Rate: $70,000
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit to contact us if you are an individual with a disability and require accommodation in the application process.
For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
