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Director, Group Claim Risk

Lincoln Financial Group Omaha, NE

Job Description

Alternate Locations:Atlanta, GA (Georgia); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona)

Relocation assistance is not available for this opportunity.

Requisition #55201

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 customers 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 $253 billion in assets under management as of December 31, 2017.

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.

The Role

This role will provide leadership and direction to a team of Claims professionals to assess, analyze, and provide recommendations for claims handling opportunities. S/he will provide oversight and deploy a team of risk resources to drive intended outcomes. S/he will establish and direct implementation of team priorities, performance goals, and objectives to ensure results related to claims risk, service and quality outcomes.


  • Analyzes data from Risk reports, QA reports, Service reports, etc. to identify trends and areas for improved claim outcomes.
  • Collaborates with Practices, Training, and other resources to quantify opportunities to refine, adjust, or change established processes and procedures to ensure the intended outcomes will result from execution of the processes.
  • Deploys claims risk resources to analyze and recommend actions to ensure appropriate claims handling
  • Deploys resources to assist Operational leaders in achieving intended financial, Service and risk outcome, offering adjunct services to the established claims teams.
  • Directs team to evaluate claims handling, assessing compliance with established processes, practices, and sound decision making.
  • Directs the monitoring of resolutions / remediation of identified issues, providing qualitative and quantitative feedback on progress.
  • Ensures that top talent is hired and retained for his/her assigned area(s) of responsibility.
  • Establishes and directs the activities of a team of Claims Risk consultants to identify opportunities to improve claims handling and outcomes for specific claims or blocks of claims.
  • Monitors the effective application of new or refined procedures, offering feedback on the efficacy of the procedures intent, documentation, and ability to execute.
  • Partners with Claims Operational leaders and Claims Best Practices area to diagnose problems, and provides subject matter expertise and recommends remediation plans which can be executed by Operational leaders.
  • Partners with Finance, Claims Risk Management, Reporting, etc. to identify individual or blocks of claims that require in-depth review and analysis to determine whether claims handling should be modified to ensure appropriate outcomes.
  • Provides training and development opportunities, including stretch assignments, for team members and gives honest and open feedback to aid in the development of talent.

Education & Experience

  • 7+ Years of experience in claims handling, reporting, analysis, including 3+ years of managerial, supervisory, and/or demonstrated leadership experience.(Required)
  • Other: Undergraduate degree or equivalent work experience in insurance claims. (Minimum Required)

Travel Information

  • Travel Type : National Domestic
  • Travel Amount : up to 50%

This position may be subject to Lincolns 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 Lincolns 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, veterans 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.


Job Details

Date Posted December 31, 2018
Date Closes January 30, 2019
Requisition 55201-en_US
Located In Omaha, NE
Department Actuarial, Quantitative & Risk Management
SOC Category 00-0000.00