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New York Life Insurance Co

At New York Life, our 180-year legacy of purpose and integrity fuels our future. As we evolve into a more technology-, data-, and AI-enabled organization, we remain grounded in the values that drive lasting impact. Our diverse business portfolio creates opportunities to make a difference across industries and communities—inviting bold thinking, collaborative problem-solving, and purpose-driven innovation. As a Fortune 100 mutual company, we offer a place to grow your skills, contribute to meaningful work, and deliver solutions that matter. Your ideas drive what’s next, and your growth powers it.

Long Term Disability Claim Manager

Location

Worldwide

Posted

97 days ago

Salary

$50K - $71.5K / year

Seniority

Lead

No structured requirement data.

Job Description

Long Term Disability Claim Manager

New York Life Insurance Co

Role Description The LTD Claim Manager is responsible for accomplishing training requirements, learning, and applying the LTD concepts gained in classroom and on-the-job training to successfully manage an assigned LTD caseload. The Claim Manager is responsible for the development of strategic case plans informed by customer & key stakeholder interactions, leveraging Technical Coaches and Team Leaders where appropriate. As a key customer-facing role, the Claim Manager will communicate with customers, employers, and treating providers. The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases, including: - Management of claims with longer duration and evolving medical conditions. - Partnering with Team Leaders and Technical Coaches for guidance. - Conducting potentially complex monthly benefit calculations. - Evaluating customer eligibility and interacting with various stakeholders. What You'll Do - Proactively manage your block of claims by regularly talking with and knowing your customers. - Develop and document Strategic Case Plans that focus on the future direction of the claim. - Determine customer eligibility by reviewing contractual language and medical documentation. - Leverage claim dashboard to manage claim inventory. - Have probing conversations with customers and employers regarding return-to-work opportunities. - Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work. - Ask focused questions of internal and external resources to clarify inconsistencies. - Have detailed phone conversations with both customers and physicians to manage claims. - Execute on all client performance guarantees. - Respond to all communications within customer service protocols. - Make fair, accurate, timely, and quality claim decisions. - Adhere to standard timeframes for processing mail, tasks, and outliers. - Support and promote all integration initiatives. - Clearly articulate claim decisions both verbally and in written communications. - Understand Corporate Compliance, Policies and Procedures, and best practices. - Stay abreast of ongoing trainings associated with role and business unit objectives. Qualifications - High School Diploma or GED required, with 3 years minimum of professional experience or bachelor’s degree strongly preferred. - Experience in hospital administration, medical office management, financial services, and/or business operations is a plus. - Comfortable talking with customers and having thorough phone conversations. - Excellent organizational and time management skills. - Strong critical thinker. - Must be technically savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously. - Ability to focus and achieve production goals through high-quality work. - Proficiency with MS Office applications is required (Word, Outlook, Excel). - Strong written and verbal skills demonstrated in previous work experience. - Proven skills in positive and effective interaction with challenging customers. - Experience in effectively meeting/exceeding individual professional expectations and team goals. - Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. - Comfortable giving and receiving feedback. - Flexible to change and highly cooperative. - Demonstrated analytical and math skills. Critical Capabilities - Critical Thinking - Trust and Transparency - Bias for Action - Leads with Agility - Customer Orientation Requirements - Salary range: $50,000-$71,500 - Overtime eligible: Nonexempt - Discretionary bonus eligible: Yes - Sales bonus eligible: No Benefits - Full package of benefits for employees, including leave programs, adoption assistance, and student loan repayment programs. - Continuous refinement and addition of benefits based on employee feedback.

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NBCUniversal logo

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