Long Term Disability Technical Specialist I - Group Benefits
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Portland, ME 04104
Alternate Locations: Atlanta, GA \(Georgia\); Austin, TX \(Texas\); Bakersfield, CA \(California\); Baltimore, MD \(Maryland\); Baton Rouge, LA \(Louisiana\); Birmingham, AL \(Alabama\); Boise, ID \(Idaho\); Boston, MA \(Massachusetts\); Buffalo, NY \(New York\); Canonsburg, PA \(Pennsylvania\); Charlotte, NC \(North Carolina\); Chicago, IL \(Illinois\); Cincinnati, OH \(Ohio\); Cleveland, OH \(Ohio\); Columbia, SC \(South Carolina\); Columbus, OH \(Ohio\); Concord, NH \(New Hampshire\); Dallas, TX \(Texas\); Deerfield Beach, FL \(Florida\); Denver, CO \(Colorado\); Detroit, MI \(Michigan\); Dover, NH \(New Hampshire\); Durham, NC \(North Carolina\); Edina, MN \(Minnesota\); Edison, NJ \(New Jersey\); Ellicott City, MD \(Maryland\); Fayetteville, SC \(South Carolina\); Florence, SC \(South Carolina\); Fort Lauderdale, FL \(Florida\); Fort Wayne, IN \(Indiana\); Fort Worth, TX \(Texas\); Gainsville, FL \(Florida\); Glen Allen, VA \(Virginia\); Glendale, CA \(California\); Greensboro, NC \(North Carolina\); Greenwood Village, CO \(Colorado\); Hartford, CT \(Connecticut\); Houston, TX \(Texas\); Huntsville, AL \(Alabama\); Indianapolis, IN \(Indiana\); Irvine, CA \(California\); Jacksonville, FL \(Florida\); Johnson City, TN \(Tennessee\); Kansas City, KS \(Kansas\); La Jolla, CA \(California\); Lexington, KY \(Kentucky\); Los Angeles, CA \(California\); Louisville, KY \(Kentucky\); Lutherville, MD \(Maryland\); Madison, WI \(Wisconsin\); Memphis, TN \(Tennessee\); Miami, FL \(Florida\); Milwaukee, WI \(Wisconsin\); Minneapolis, MN \(Minnesota\); Nashville, TN \(Tennessee\); New York, NY \(New York\); None; Norwood, OH \(Ohio\); Omaha, NE \(Nebraska\); Orlando, FL \(Florida\); Palm Desert, CA \(California\); Paramus, NJ \(New Jersey\); Parsippany, NJ \(New Jersey\); Philadelphia, PA \(Pennsylvania\); Phoenix, AZ \(Arizona\); Pittsburgh, PA \(Pennsylvania\); Plano, TX \(Texas\); Plymouth Meeting, PA \(Pennsylvania\); Portland, ME \(Maine\); Portland, OR \(Oregon\); Radnor, PA \(Pennsylvania\); Raleigh, NC \(North Carolina\); Richmond, VA \(Virginia\); Rochester, NY \(New York\); Rockville, MD \(Maryland\); Rolling Meadows, IL \(Illinois\); Rye Brook, NY \(New York\); Sacramento, CA \(California\); Salt Lake City, UT \(Utah\); San Antonio, TX \(Texas\); San Diego, CA \(California\); San Francisco, CA \(California\); San Ramon, CA \(California\); Schaumburg, IL \(Illinois\); Scottsdale, AZ \(Arizona\); Seattle, WA \(Washington\); Southfield, MI \(Michigan\); St\. Louis, MO \(Missouri\); Syosset, NY \(New York\); Tampa, FL \(Florida\); Toledo, OH \(Ohio\); Tupelo, MS \(Mississippi\); US All Regions; US Midwest; US Northeast; US Southeast; US Southwest; US West; Vienna, VA \(Virginia\); Virginia Beach, VA \(Virginia\); Walnut Creek, CA \(California\); Washington, DC \(District of Columbia\); Westlake Village, CA \(California\); White Plains, NY \(New York\); Windsor, CT \(Connecticut\); Woodmere, OH \(Ohio\); Work from Home
Relocation assistance is not available for this opportunity\.
About the Company
Lincoln Financial Group, a Fortune 250 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 $238 billion in assets under management as of December 31, 2018\.
Ranked one of the Best Large Employers in America by Forbes magazine, 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\.
General Purpose of Job
As the LTD \(Long Term Disability\) Technical Specialist I, you will perform and deliver on routine assignments and projects for the Majors and Specialized Accounts area within Lincoln’s Group Benefits Department\. You will be responsible for the management of assigned claims for our most high profile accounts\. You will review, evaluate, and make claim determinations regarding coverage, compensability, and appropriate outcome of claims\.
Analyzes and processes LTD claims by obtaining, evaluating, and summarizing information to make claim determinations\.
Reviews obtained information to make LTD claim determinations and ensure appropriate claims outcomes for your assigned claims\.
Conducts interviews with external stakeholders \(e\.g\. physicians, claimants, and/or lawyers\); when additional information cannot be obtained, escalates as needed and identifies appropriate next steps to ensure efficient handling\.
Effectively collaborates with appropriate internal stakeholders to determine claim eligibility and to manage claim through full life\-cycle\.
Reviews and provides assessments to facilitate settlement of claims up to designated authority level\.
Analyzes claimants’ coverage contracts to determine basic payment eligibility is met\.
Evaluates and makes recommendations regarding claim eligibility determinations to management\.
Proactively identifies and resolves issues and/or concerns; clearly articulates claim process & review to address customer questions\.
Provides coaching/feedback to claims teams on effective use of policies/procedures and best practices in claims workflow & management\.
Supports management in the review of team performance, identifies trends and provides feedback to enhance practices/processes to ensure a positive customer experience\.
Partners with management and other resources to contribute to training materials; provides training to claims team members\.
4 Year/Bachelor’s degree or equivalent work experience \(4 years of experience in lieu of Bachelors\)\_Minimum Required in Business or Finance
0 \- 1\+ Years of Experience in claims that directly aligns with the specific responsibilities for this position \(Minimum Required\)
3\+ Years of Experience in LTD Claims processing \(Highly Preferred\)
Demonstrates excellent organizational skills with the ability to prioritize workload and multi\-task while maintaining strict attention to detail\.
Demonstrates strong written and verbal communication skills\.
Ability to interpret and apply common sense understanding to carry out a variety of instructions furnished in written, oral, or diagram form\.
Demonstrated solid relationship management skills with internal clients \(e\.g\. management, peers and colleagues\)\.
Demonstrates the ability to use sound judgment and discretion regarding confidential information\.
Proficiency with Microsoft Office Suite \(Word, Excel, PowerPoint, Outlook\)\.
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 Fi