Claims Manager I

Overview of Fort Dearborn Life Insurance Company

With more than 35 years experience, Fort Dearborn Life is among the country's leading providers of group life insurance programs. Licensed in 49 states, the District of Columbia and both the U.S. and British Virgin Islands, Fort Dearborn Life markets and administers life, disability and dental insurance products, as well as fixed and index annuity programs.  In New York, Fort Dearborn does business through Fort Dearborn Life Insurance Company of New York.

Our corporate home office is located in Downers Grove, Illinois, and we have administrative offices in Cleveland, Ohio; Tulsa, Oklahoma; and Richardson, Texas. We also have sales offices located throughout the country.

Requisition #:500026

Title:            Claims Manager I        

Location:      Richardson, TX

Essential Job Functions – Claims Manager I, Richardson, TX

This position manages and controls the processing, investigation and settlement of claims.

May perform duties unique to the area, such as:

·        Reviews life, long-term disability, weekly income, AD&D and waiver of premium claims; requests and reviews claim investigation reports from outside agencies; approves or denies claims within current company limits.

·        Corresponds and communicates with claimants, policy holders, attorneys, doctors, agents, field personnel, reinsurers and other departments within the company to resolve or discuss matters relevant to effective claim administration.

·        Responsible for the preparation of various monthly, quarterly, and annual reports summarized the claims received/denied and paid.  Monitors time of service, productivity, and quality performance standards.

·        Reviews group account reports to ensure that they are current and accurate; monitors experience records to ensure an accurate reflection of claim payments.  Oversees the collection of all reinsurance collectibles overpayments.

·        Directs and controls the timely processing of claims submitted under administrative service contracts.  Reviews, approves or denies complex claims. Oversees the monthly billing coordination for administrative services rendered.

·        Determines rates for administrative service contracts; accompanies company representatives to present contract proposals to group personnel and assists group personnel in establishing and maintaining a self-insured system.

·        Determines the need for, develops and implements new procedures for claims processing, investigation and adjudication.  Responsible for customer satisfaction, responding to all inquiries, and legal compliance.

·        Perform other duties as assigned.

Job Requirements – Regional Sales Manager I, Owings Mills, MD

The selected candidate will meet the following criteria:                                     

·    Requires a Bachelor's degree or 4 years’ experience in the life insurance industry.

·     Requires six years of life and long/short term disability claims adjudication background including four years supervisory experience in a claims environment.

·      FLMI, ICA, and/or HIA insurance designation is preferred.

·      Knowledge of corporate systems including automated billing, claims, group policy administration and financial systems.

Generous Benefits at Fort Dearborn Life Insurance Company

At Fort Dearborn Life Insurance Company you’ll enjoy an array of generous benefits to include:

• Medical Insurance, including Vision
• Dental Insurance
• Prescription Drug Program
• Short-term Disability Insurance
• Long-term Disability Insurance
• Travel / Accident Insurance
• 401(k) Plan
• Pension Plan
• Flexible Spending Account (FSA)
• Paid Time Off (PTO)
• Bereavement Leave
• 10 Paid Holidays
• Tuition Reimbursement
• Adoption Reimbursement
• Life Insurance
• Access to Credit Unions
• Domestic Partner Benefits
• Long Term Care
• Employee Bonus Programs

Fort Dearborn Life Insurance Company is an Equal Opportunity Employer M/F/D/V.