Operations Manager, Claims

17 hours ago


Montpelier, Vermont, United States National Life Group Full time
Job Title: Operations Manager, Claims

At National Life Group, we are seeking an experienced Operations Manager, Claims to join our team. As a key member of our Claims Team, you will be responsible for leading the execution of team objectives, service delivery, and expectations.

Key Responsibilities:
  • Maintain an advanced working knowledge of claims procedures, policies, and system applications, as well as company life and annuity product features.
  • Drive the execution of team objectives, service delivery, and expectations by planning, organizing, and directing team members.
  • Participate in strategic planning to develop departmental operational plans to maximize the department's efficiency, productivity, and performance.
  • Develop an internal talent pipeline, by setting team and individual goals, coaching for performance and individual growth and development.
  • Partner with stakeholders across the organization to drive large-scale initiatives and champion successful change implementation to create value.
  • Provide claims examiners with ad hoc support for escalations and claims with the highest complexity.
  • Coordinate with leadership, sales, legal, compliance, reinsurance, underwriting, and actuarial to maintain the contractual provisions and company practices for claim adjudication and to minimize potential litigation.
  • Mentor and support technical training of examiners and participate in cross-organizational claim education.
  • Commit to professional growth and development, including participating in industry conferences and maintaining industry relationships.
Requirements:
  • 10+ years of industry experience as a Claims Examiner or Underwriter, preferably in Life, Annuity, Disability, Long Term Care or Health insurance.
  • 5+ years of management experience, with a demonstrated ability to direct others, including developing, training, and executing performance goals.
  • A comprehensive understanding of claims appeals, denials, medical terminology, and contract language.
  • Exceptional leadership, team management, and interpersonal communication skills.
  • Bachelor's degree preferred, but applicants of various backgrounds are encouraged to apply.
  • Preferred background includes insurance industry and business process designations such as ALMI, FLMI, ALHC, FLHC, and CLU.
  • Proficiency with life insurance industry core systems, including claims, enterprise content management, and customer relationship management, as well as collaboration platforms.
Competencies:
  • Customer focus - deliver the highest standards of quality service through effective and compassionate listening, communication, and responsiveness.
  • Business and technical acumen - maintain a working knowledge of computer information systems, insurance contract features and regulatory rules, and medical terminology.
  • Managing and organizing work - clearly assigning responsibilities and expectations, setting objectives and monitoring progress and results.
  • People development - coordinate the development of claims examiners by coaching, monitoring progress, and providing feedback.
  • Building effective teams - bringing together a mix of skillsets and fostering team cohesiveness to create a group that is stronger than the sum of the individuals.
  • Data analysis - applying broad knowledge and perspective to articulate insights into business results.
  • Organizational agility - understand cross-functional operations and leverage relationship network.
  • Critical thinking - apply judgment and exercise sound reasoning to make and support claim decisions.

National Life Group offers a competitive total rewards package, including a 401(k) retirement plan match, medical, dental, and vision insurance, a company-funded wellness account, 10 paid holidays, a generous paid time off plan, and 6 weeks of paid parental leave.



  • Montpelier, Vermont, United States National Life Group Full time

    Job SummaryThe Claims Team Manager is a key leadership role within National Life Group's Claims Team, responsible for driving the execution of team objectives, service delivery, and expectations. This individual will maintain an advanced working knowledge of claims procedures, policies, and system applications, as well as company life and annuity product...


  • Montpelier, Vermont, United States Concord Group Insurance Full time

    Job Title: Field Claims RepresentativeConcord Group Insurance is seeking a highly skilled Field Claims Representative to join our team. As a Field Claims Representative, you will be responsible for investigating, evaluating, and settling assigned claims involving 1st Party Homeowner and Commercial Property claims.Key Responsibilities:Field appraise losses of...


  • Montpelier, Vermont, United States Concord Group Insurance Full time

    Job Title: Field Claims RepresentativeConcord Group Insurance is seeking a highly skilled Field Claims Representative to join our team. As a Field Claims Representative, you will be responsible for investigating, evaluating, and settling assigned claims involving 1st Party Homeowner and Commercial Property claims.Key Responsibilities:Conduct thorough...


  • Montpelier, Vermont, United States PMA Companies Full time

    Job Title: Sr. Claims RepresentativeAs a key member of our claims team, you will utilize your knowledge of Workers Compensation to independently investigate, evaluate, and resolve assigned claims of a more complex nature. Your expertise will be instrumental in achieving appropriate outcomes and ensuring timely resolution of claims in accordance with legal...


  • Montpelier, Vermont, United States PMA Companies Full time

    Job Title: Senior Claims RepresentativeWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at PMA Companies. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex workers' compensation claims in a timely and efficient manner.Key Responsibilities:Investigate...


  • Montpelier, Vermont, United States PMA Companies Full time

    Job Title: Senior Claims RepresentativeAs a member of our claims team, you will utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes.Key Responsibilities:Promptly investigate all assigned claims with minimal supervision, including...


  • Montpelier, Vermont, United States Vermont Mutual Full time

    Job Title: Claim Representative II, SubrogationJob Summary:Vermont Mutual seeks a skilled Claim Representative II, Subrogation to join our team. As a key member of our claims department, you will be responsible for handling a technical claims caseload of Subrogation claims. This role requires strong analytical and negotiation skills, as well as the ability...


  • Montpelier, Vermont, United States Vermont Mutual Full time

    Job Title: Senior Claim Supervisor, AutoAt Vermont Mutual, we are seeking a highly skilled and experienced Senior Claim Supervisor to lead our Auto Claims team. As a key member of our claims organization, you will be responsible for supervising a team of claim examiners and representatives, ensuring that all claims are handled in a timely, accurate, and fair...


  • Montpelier, Vermont, United States Vermont Mutual Insurance Full time

    Job SummaryWe are seeking a highly experienced Senior Claim Supervisor to lead our Auto Claims team. The successful candidate will have a proven track record of managing complex claims and supervising a team of adjusters and support staff.Key ResponsibilitiesDirect and monitor the investigation, evaluation, and disposition of auto claims to ensure timely,...


  • Montpelier, Vermont, United States Vermont Mutual Insurance Full time

    Job Title: Senior Claim Supervisor, AutoAt Vermont Mutual Insurance, we are seeking a highly skilled and experienced Senior Claim Supervisor to join our team. As a Senior Claim Supervisor, you will be responsible for the direct supervision of a dedicated Personal Injury Protection and Property Damage claim adjusting unit handling the specified line of...


  • East Montpelier, Vermont, United States Zurich NA Full time

    Surety Senior Claims Professional AttorneyZurich North America is seeking an experienced Surety Senior Claims Professional (Attorney) to manage a caseload of moderate to high complexity Surety claims. The ideal candidate will have a strong background in insurance claims and the insurance legal and regulatory environment.Key Responsibilities:Analyze coverage,...


  • East Montpelier, Vermont, United States Lincoln Financial Group Full time

    About the RoleWe are seeking a highly motivated Integrated Absence Claims Specialist to join our team at Lincoln Financial Group. As an Integrated Absence Claims Specialist, you will play a critical role in managing a workload of Short-Term Disability claims and their associated leaves.Key ResponsibilitiesCommunicate with claimants, employers, and medical...

  • Operations Internship

    3 weeks ago


    Montpelier, Vermont, United States National Life Group Full time

    Operations Internship OpportunityJoin National Life Group as an Operations Intern and gain hands-on experience in the life insurance application process. This 10-week paid internship provides a comprehensive understanding of operations, from application intake to policy issuance.Key Responsibilities:Assist with receiving and reviewing incoming life insurance...


  • Montpelier, Vermont, United States Cypress HCM Full time

    Operational Excellence ManagerThis is an exciting opportunity to join Cypress HCM as an Operational Excellence Manager. In this role, you will be responsible for leading the company's Lean & Six Sigma training, projects, and implementation. A solid understanding of Lean & Six Sigma processes within a manufacturing environment is required to be successful in...


  • Montpelier, Vermont, United States Staples Full time

    Job Title: Assistant Store ManagerAs an Assistant Store Manager at Staples, you will play a key role in driving sales, services, and customer engagement in the store. You will be responsible for ensuring the store is ready for business and establishing customer relationships that build loyalty.Key Responsibilities:Drive sales and services growth through...


  • Montpelier, Vermont, United States KCO Resource Management Full time

    Job SummaryWe are seeking a highly skilled Maintenance Supervisor to lead our maintenance team at KCO Resource Management. As a key member of our operations team, you will be responsible for ensuring the smooth operation of our facilities and equipment.Key ResponsibilitiesSupervise and develop the training program for the site maintenance team, ensuring they...


  • Montpelier, Vermont, United States KCO Resource Management Full time

    Maintenance Supervisor Job DescriptionWe are seeking a skilled Maintenance Supervisor to oversee the maintenance operations at our dairy production facility. The ideal candidate will have a strong background in maintenance management, with experience in supervising a team and managing maintenance projects.Key Responsibilities:Supervise and develop the...

  • Project Manager

    3 weeks ago


    Montpelier, Vermont, United States SMX Corporation Full time

    Project Manager - Maritime OperationsSMX Corporation is seeking a highly skilled Project Manager to join our integrated program management office (PMO) and support the Mission Solutions Group portfolio of programs. As a key member of our team, you will be responsible for the management and direction of the day-to-day operations of contract cost, schedule,...


  • Montpelier, Vermont, United States KCO Resource Management Full time

    About the RoleKCO Resource Management is seeking a highly skilled and experienced Maintenance Supervisor to join our team. As a key member of our operations team, you will be responsible for overseeing the maintenance and upkeep of our facilities, ensuring that our equipment and systems are running efficiently and effectively.Key ResponsibilitiesLeadership...


  • Montpelier, Vermont, United States Cornerstone Recruiting Full time

    We are seeking a skilled HVAC professional to lead our mechanical operations and maintenance team in Montpelier, VT.Key Responsibilities:Oversee the technical operations and maintenance of a large government building, leading a team of technical staff and providing support to other buildings and supervisors as needed.Develop and implement building safety...