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At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. 
 We are seeking an experienced professional in the Individual Disability Insurance (DI) Claims field to join our DI Claims team.&nbsp; The ideal candidate will possess extensive knowledge and experience in managing DI claims, as well as strong leadership abilities to guide and develop claim analysts by serving as a role model and resource, monitoring, and guiding claim management skills, and providing positive reinforcement through effective case management. 
 A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully. 
 Primary Duties and Responsibilities 
<ul>
<li> Develops the technical performance of disability claim analysts by serving as a role model and resource via the following team leader responsibilities. </li>
<li> Monitors, guides, and develops the claim management skills of claim analysts. </li>
<li> Provides positive reinforcement and opportunities regarding case management through the effective handling of verbal and written referrals in accordance with divisional practices as defined by the Service Goal, Best Practices and Desk Organization guidelines. </li>
<li> Provides effective ongoing performance feedback to the individual and the manager. </li>
<li> Investigates, analyzes and makes decisions on a reduced volume of high effort non-contestable and contestable disability income claims including late claims, Disability Overhead Expense, Financial Representative, Buyout and Keyperson. </li>
<li> Uses extensive financial, medical, legal and contractual knowledge to interpret and analyze pertinent facts in making and communicating claim decisions. </li>
<li> Responsible for managing claims in litigation and referring claims to the Law Department. </li>
<li> May be called upon to represent the Company in legal matters through preparation for and participation in depositions and trials. </li>
<li> Preserves Northwestern Mutual's image and reputation in the approval or denial of benefits despite difficult and delicate circumstances. </li>
<li> Determines applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability Benefits claim philosophy. </li>
<li> Approval Limits Contestable and Non-Contestable $0-$11,000. </li>
</ul>
 Qualifications 
<ul>
<li> Five to seven years of experience in Individual Disability Insurance Claim handling demonstrating analytical ability, in-depth knowledge of DI policies, procedures, and regulations. </li>
<li> Independent decision-making and sound judgment in the application of guidelines. </li>
<li> Ability to collaborate within and across teams to obtain the best possible results. </li>
<li> Excellent organization and communication skills. Bachelor's Degree or equivalent work experience. </li>
</ul>
 Compensation Range: 
 Pay Range - Start: 
 $69,720.00
 Pay Range - End: 
 $129,480.00
 Northwestern Mutual pays on a geographic-specific salary structure and placement in the salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity as well as the cost of labor in the market; and other conditions of employment. At Northwestern Mutual, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. Please note that the salary range listed in the posting is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please c lick here for additional information relating to location-based pay structures. 
 Grow your career with a best-in-class company that puts our client’s interests at the center of all we do. Get started now! 
 We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law. 
 If you work or would be working in California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits. 
 FIND YOUR FUTURE
We’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion.&nbsp;
<ul>
<li>Flexible work schedules</li>
<li>Concierge service</li>
<li>Comprehensive benefits</li>
<li>Employee resource groups</li>
</ul>
PandoLogic. Keywords: Insurance Examiner, Location: Franklin, WI - 53132

DI Claims Team Cons - Team Lead

At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. 
 Summary: 
 All potential candidates should read through the following details of this job with care before making an application. 
 Provide technical leadership and direction to the Disability Income Claims Division to ensure accurate and fair administration of claims. 
 Primary Duties &amp; Accountabilities: 
<ul>
<li> Collaborate with claims leadership to establish a strategic vision for future Disability Income (DI) claims administration, including identifying and facilitating claim handling process improvements and technological enhancements. </li>
<li> Direct and lead projects to evolve the technical guidelines and procedures that serve as the framework for DI claims administration. </li>
<li> Establish technical proficiency standards for claims administration and to support effective training, coaching, and mentoring of claims analysts and technical leaders. Provide feedback and develop the skills and expertise of team members.&nbsp; </li>
<li> Proactively work to influence and motivate others while creating a climate that fosters customer focus and continuous learning and improvement. </li>
<li> Develop and maintain claim handling standards and best practices, ensuring compliance with company philosophy, contract language and provisions, and state laws. </li>
<li> Provide expertise in handling complex, sensitive, contestable, or large benefit amount cases. Oversee claim denial and recovery processes, and manage complaints, appeals, and highly contentious claims, including disability and life waiver of premium claims. </li>
<li> Resolve claim conflicts through formal and informal dispute resolution practices. Collaborate with the Law Department on lawsuits, depositions, and trial representations. Establish negotiation parameters and exercise judgement in settlements. Serve as liaison between claim staff and the Law Department on a wide variety of legal issues. </li>
<li> Serve as a product line subject matter expert for new contract introductions and projects impacting claim handling. </li>
<li> Represent the disability claim operation within the industry and act as a liaison within the home office. </li>
</ul>
 Knowledge, Skills &amp; Abilities: 
<ul>
<li> College degree in business or related field </li>
<li> Eight to ten years of experience with insurance products and claim processes and procedures </li>
<li> Demonstrated capability as a technical expert and leader, with a proven ability to lead, mentor, and develop others, and work effectively across teams </li>
<li> In-depth knowledge of insurance products, underwriting processes, medical and financial information, claim philosophy, and claim handling practices </li>
<li> Knowledge of and experience in managing claim legal issues and the litigation process </li>
<li> Excellent judgment and decision-making skills </li>
<li> Experience in negotiation and conflict management </li>
<li> Excellent verbal and written communication skills, including those for liaising with policyowners, legal counsel, financial experts, field members, and home office personnel </li>
<li> Experience in project leadership or similar efforts </li>
</ul>
 Compensation Range: 
 Pay Range - Start: 
 $84,350.00
 Pay Range - End: 
 $156,650.00
 Northwestern Mutual pays on a geographic-specific salary structure and placement in the salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity as well as the cost of labor in the market; and other conditions of employment. At Northwestern Mutual, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. Please note that the salary range listed in the posting is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please c lick here for additional information relating to location-based pay structures. 
 Grow your career with a best-in-class company that puts our client’s interests at the center of all we do. Get started now! 
 We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law. 
 If you work or would be working in California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits. 
FIND YOUR FUTURE
We’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion.&nbsp;
<ul>
<li>Flexible work schedules </li>
<li>Concierge service </li>
<li>Comprehensive benefits </li>
<li>Employee resource groups </li>
</ul>
PandoLogic. Keywords: Insurance Examiner, Location: Franklin, WI - 53132 , PL: 597056090

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