Unum Work Values

Daily Duties at Unum:

• Responsible for the overall management and supervision of a LTD and Life claims unit, including directing the evaluation, investigation, negotiations, and the settlement of claims • Management of multiple external vendor relationships (e.g. Workers Comp, SSDI advocacy, Behavioral Management firms, SIU, prior carriers, etc.) • Developed and managed a reserve budget of approximately $1M annually • Coordinate Installation meetings with National Sales, Account Management and/or Employer Groups • Ownership and hands-on development of product strategies, road maps, release plans requirements documents and go-to-market plans • Assist council with preparing defense on suit claims and attend depositions as needed • Plans and directs the work of Claims unit personnel, including directing work assignments, scheduling and reviewing work-in-progress • Facilitated weekly TBA meetings with on-site physician, vocational consultant, clinical and claims specialists to ensure appropriate on going claims handling and identify claims that require SIU involvement • Monitors work flow to ensure continued prompt and accurate claims service. • Communicate both verbally and in writing with customers, agents, vendors and relevant staff (including members of senior management), responding to all inquiries including claimant or case specific statuses, escalated calls or departmental process and performance queries • Identified and implemented ongoing productivity and quality enhancements while maintaining the highest possible claim management effectiveness in a dynamic environment • Oversee defining, implementing and advocating effective product management processes, methods and tools • Oversee integrated service team that consisted of Operations Management, Enrollment Management, Sales, National Account Manager, Actuary, UW, Billing, Implementation, and an assigned Broker • Monitor Disability Reserves and provide AVP with expected reserve impact on a monthly basis • Interview prospective account manager candidates and make recommendations for hiring • Establish project oversight (Steering Team) and identify key issues/risks and important decisions the Project Steering Team needs to make • Manage multiple budgets (SIU, Field and Vendor services, Genex/Voc Rehab.) • Completed performance appraisals for team members and supporting resources • Contributed directly to assigned National Account employer visits, finalist sales presentations, implementation and renewal meetings • Assisted Sales and Underwriting with Large Group product designs based on employer demographics to ensure accurate pricing • Oversee the utilization and quality of Field and Vendor services, SIU and physician networks used for claims management • Reviewed high reserve claims to ensure accurate calculating and application of health / welfare deductions • Assessed group claims experience for underwriters to present during policy renewals • Participated in weekly or bi-weekly customer service calls with Brokers and Account Managers • Schedule, prioritize and distribute workflow for claims staff • Supplied employers with Comparative Analysis reports upon request • Partnered with Underwriting, Sales and Marketing on non-standard/complex plan designs, workflows, and service capabilities for in force/renewal customers • Reviewed all Long Term Disability settlements for approval prior to payment release • Facilitated Ongoing training in the areas of medical, financial, fraud, policies and procedures • Communicated and maintained processes related to sensitive policy holders • Met and exceeded performance guarantee standards for assigned Large Groups • Continuously evaluated claims for opportunities to collaborate with expert resources to vocationally manage claims • Accountable for accurate administration of risk management programs and adjudication of claims

What they like about Unum:

You give high priority to hiring firms with prestige. Market reputation and prestige of a firm may be determined through on-line research, and conversations with individuals working in your target industry. Note that firms "in the public eye" receive a great deal more critical publicity and attention than those operating with more anonymity. So as you assess your employment opportunities, be sure to seek out the positive aspects of the firm's reputation in addition to noting negative publicity the company may have received.

Tags

Operations Management, Consultant, Manager, Director, Project Management, Account Management, Product Build, Claim Systems

Skills

P&L responsibilities, Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Sales Support, Software Implementation, Requirements Analysis & Specification, Leadership

These are some of the questions we asked our climbers about their experiences with Unum: