Claims Technical Lead

Job Summary

Serving as a key resource for claims-related inquiries, the full-time remote Claims Technical Lead will mentor new hires, ensure effective case management, and monitor performance metrics to support the claims team.

Key responsibilities

• Act as the main point of contact for case managers regarding claims-specific questions
• Conduct training and development for new hires and existing staff, ensuring effective use of risk management skills
• Monitor KPIs and workload balancing for case managers to meet service level commitments

Required qualifications

• Bachelor's degree in health administration, business, or a related field
• 4 or more years of job-related experience
• 2 years of case management experience in STD/LTD, Life, Absence Management, or a related field
• Strong understanding of contracts, plans, and products
• Excellent critical thinking and decision-making skills