Job Summary
The Manager, STD/Leave is responsible for management and administration of multiple functions, or management of general business operations within Disability Claims Department.
Principal Duties & Responsibilities
Oversee daily operations of multiple levels of staff and multiple functions across one or more business units
Manage day to day site operations, and accountability for financial and non - financial results (budgets and actuals)
Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting Insurance and Leave of Absence claims
Attend/participate in select customer meetings as appropriate to discuss feedback and/or needed process enhancements.
Initiates and maintains partnerships with others throughout the organization. Encourages cooperation by promoting common goals and building trust. Inspires, supports, and initiates cross[1]functional activities.
Authorize the appropriate payment or refers claims to investigators for further review
Analyzes and identifies trends and provides reports as necessary
Lead project management and implementation initiatives
Identifies trends and assist in developing creative solutions to improve overall efficiencies of Short Term Disability and leave of Absence processes
Analyzes and distribute daily reports and ensure Performance Guarantees and critical claim indicators are consistently met
Consistently cascade critical compliance and process updates to team members; provides appropriate oversight to ensure team successfully achieves targets to meet Performance Guarantees; supports employee development by conducting regularly scheduled 1x1s with direct reports; coaches and develops direct reports to advanced claim management practices
Travel Less than 10% of the time
Performs other duties as required
Education & Experience Required
- Bachelor's Degree in a related field
- 5+ years of claims industry experience
- 5+ years of Supervisory, Managerial, and / or leadership experience in claims adjudication or customer service
- 2+ years of experience managing relationships with clients and / or vendors
- 2+ years of experience managing budgets, process improvement and quality assurance
Education & Experience Preferred
- Operation Excellence (Six Sigma) experience
Or an equivalent combination of education and experience
Job Knowledge & Skills
Experience using specific medical and/or behavioral health criteria or protocols
Extensive clinical experience/knowledge
Strong customer service skills
Strong written and oral communication skills.
Strong organizational and time management skills
Ability to analyze clinical records in the context of functional capacity
Kean instincts on how to work in a team environment
Pass Applicable certification and licensing continuing education and maintain active license and/or certification, as required.
Seeks and/or maintains current or enhanced profession credentials.
Proficiency within Microsoft Excel (ability to create pivot tables, basic formulas, sorting, and read data)
Solid understanding of the regulations governing FMLA, Statutory Disability and ERISA as it relates to absence programs
Competencies
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
Creighton University 
Omaha, NE 
Full-time
