Senior Team Lead - Long Term Care/Insurance

Work
Location: Horsham Township, PA

Long
Term Care Technical Team Lead

Job
Description:

Capgemini
is seeking a Technical Team Lead for a key Long Term Care (LTC) client within
its growing LTC administration portfolio.
This position will be based in our newly opened operation in Horsham, PA. It reports to the Director of Claims.

Responsibilities
include the overall planning and adjudication of claims, improving efficiency
and implementing productivity improvements resulting in a client focused
service delivery. You will also monitor and control costs while maintaining
exceptional service levels, and determine strategies that will increase the
company’s profitability. As a technical leader within the claim department, you
will have to implement specific performance expectations, service delivery
requirements and audit programs to ensure adherence to policy and procedures
and assist in designing and implementing goal oriented training programs for
new and existing associates.

Responsibilities:

Provide
leadership and guidance to staff on LTC Claim handling. May provide coaching to new and existing
claim associates to consistently meet and/or exceed service levels and
performance standards.Follow
clear and concise performance standards and service levels and implement
processes that monitor gap analysis and incorporate corrective action planning.Oversee
the set up and delivery of strategic training programs for inexperienced and
experienced claim associates.Develop,
recommend and implement strategic programs and procedures that encourage
customer loyalty, company profitability and cost effective productivity.Ensure
that Claims is adequately staffed and team members are provided with the
appropriate resources to provide exceptional client service.Select
and monitor external vendors to ensure exceptional business practices, quality
and cost assurance.Maintain
standard operating procedures with, and act as a liaison to other business
units.Handle
and resolve escalated customer/client calls and complex contentious claims.
Resolve claims issues by collaborating with team members, compliance and other
internal/external stakeholders.Represent
Claims during meetings and inter departmental matters.Represent
Claim Department during internal/external presentationsLead
and manage Claim Round-Table discussions.
Serve as second level review and/or approver on complex claims.Keep
current on trends in LTC. Serve as
technical Other
duties and special projects that may be assigned.

Job
Requirements/Qualifications:

Serve
as a role model for claim staff.Ability
to effectively lead, coach, and develop claim staff.Excellent
communication, negotiation and presentation skills. Ability to effectively
interact with all levels of management and subordinates.Knowledge
of LTC or Disability Insurance (DI) claims and compliance best practices.Strong
analytical skills and ability to multi-task.Proactive
and a self- starter.Adaptable
to change.Knowledge
of Microsoft Office Suite and other business related software. Ability to learn new claim technology and
systems quickly.

Education
and Experience:

Bachelors
degree or equivalent experience.7+
years of claim experience in LTC or DI. Prior
management experience a plus.