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. Our Benefits We provide a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Our Commitment to Inclusion At New York Life, fostering an inclusive workplace is fundamental to who we are and how we serve our communities. We have a longstanding commitment to creating an environment where individuals can contribute their best and succeed together.
Long Term Disability Claim Manager
Location
United States
Posted
16 days ago
Salary
$50K - $71.5K / year
Seniority
Lead
No structured requirement data.
Job Description
Long Term Disability Claim Manager
New York Life
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. LTD Claim Managers will partner with Team Leaders and Technical Coaches for guidance on having meaningful and transparent conversations with their customers and clinical partners to gather the information most relevant to each claim. It also requires potentially complex monthly benefit calculations, which will be reviewed for accuracy. The Claim Manager will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners, and attorneys, etc., to gather the information to make the decision on the claim. What You'll Do - Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block. - Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint. - Determine customer eligibility by reviewing contractual language and medical documentation, interpret information, and make decisions based on facts presented. - Leverage claim dashboard to manage claim inventory to determine which claims to focus efforts on for maximum impact. - Have probing conversations with customers and employers regarding return-to-work opportunities and communicate with an action-oriented approach. - Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis. - Ask focused questions of internal resources (e.g., nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) to question discrepancies, close gaps, and clarify inconsistencies. - Have detailed phone conversations with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information. - Execute on all client performance guarantees. - Respond to all communications within customer service protocols in a clear, concise, and timely manner. - Make fair, accurate, timely, and quality claim decisions. - Adhere to standard timeframes for processing mail, tasks, and outliers. - Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.). - 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. Requirements - Critical Thinking - Trust and Transparency - Bias for Action - Leads with Agility - Customer Orientation Benefits - Full package of benefits for employees, including leave programs, adoption assistance, and student loan repayment programs. - Annual discretionary bonus eligibility. - Participation in an incentive program.
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Role Description We’re looking for a skilled Case Manager specializing in Personal Injury and Immigration Law cases to join our team! If you're highly organized, personable, and passionate about delivering exceptional case management, we’d love to hear from you. - Client Onboarding & Communication: Conduct case management introductions, monitor that the client is receiving proper medical treatment or fulfilling other requirements, and conduct regular check-ins with clients to provide updates and gather information. - Case Management: Efficiently monitor case progress, ensuring all client interactions are accurately documented and all files and reports are properly saved. - Calendar Management: Keep track of key deadlines and follow-ups, ensuring that all stakeholders are notified and updated. - Third-Party Coordination: Provide and retrieve necessary information to/from medical providers, follow up on liability issues and policy limits, and handle communication with insurance companies, Government Agencies, and the USCIS. Prepare and send out MedPay demands as needed. Qualifications - Has at least 1 year of experience in a law firm, with a focus on Personal Injury (PI) and Immigration cases. - Has a strong understanding of U.S. Personal Injury and Immigration legal procedures, and case management. - Has a background in customer service and sales (highly desirable). - Is proficient in verbal and written communication skills in English (C1 or higher). - Has excellent prioritization and time-management skills. - Can work independently and handle confidential information with discretion. - Holds a Bachelor’s degree in law (preferred). - Permanently resides in Latin America. - Owns a reliable laptop (Windows or Mac, 2017 or newer) with a stable internet connection. Benefits - Long-Term Opportunities: Build a lasting professional relationship with us. - Fully Remote: Work from the comfort of your home—no onsite travel required. - Paid Time Off: Enjoy 2 weeks of paid leave and U.S. holiday recognition. - Wellness Support: Access in-house psychological and wellness coaching services. - Holistic Growth: Free access to coaching programs that support your personal and professional development. - Exclusive Learning Access: Unlock free access to over 200 courses.
Senior Delivery Manager
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• Project Planning: Develop comprehensive project plans for life and annuity projects, including scope, timelines, resources, and budgets. Define project objectives and deliverables. Developing and maintaining the project plans using the project work breakdown structures, product backlogs, sprint backlogs, project and program charters, scope definition, schedules, resource requirements. • Product Knowledge: Leverage expertise in life insurance and annuity products to guide project requirements, design, and implementation. • Resource Management: Manages cross-functional team members and subject matter experts, including definition of objectives, oversight of execution and evaluation of performance. • Stakeholder Communication: Serve as the primary point of contact for stakeholders, including internal teams, clients, and vendors. Provide regular updates on project status and address any issues. • Regulatory Compliance: Ensure all projects adhere to industry regulations, standards, and company policies. • Risk Management: Identify potential risks specific to life and annuity projects and develop strategies to mitigate them. • Budget Management: Monitor and manage project budgets, ensuring cost-effectiveness and alignment with financial goals. • Quality Assurance: Oversee the quality of project deliverables to ensure they meet industry standards and client expectations. • Documentation: Maintain detailed project documentation, including plans, reports, and change requests. • Team Leadership: Lead and motivate project teams, ensuring alignment with project goals and fostering a collaborative work environment. Provides thought leadership and delivers business insights to identify and resolve complex issues critical to their clients’ success. • Problem Solving: Address and resolve project-related issues and challenges in a timely and effective manner. • As part of their expanded responsibilities, the Manager will lead the implementation of AI initiatives aligned with business objectives. This includes identifying opportunities for AI-driven automation and analytics within ongoing projects, collaborating with data science and engineering teams, and ensuring AI solutions are integrated seamlessly into existing platforms and workflows such as LifePRO, LDS, portals, and operations systems. By embedding AI delivery into project execution, the PM plays a key role in accelerating digital transformation, improving efficiency, and delivering measurable business value.
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