Assistant Director DI Technical Claims - Hybrid/Remote

Company: Northwestern Mutual
Location: Franklin
Posted on: May 1, 2025

Job Description:

At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference.Summary: Provide technical leadership and direction to the Disability Income Claims Division to ensure accurate and fair administration of claims.Primary Duties & Accountabilities:

• 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.
• Direct and lead projects to evolve the technical guidelines and procedures that serve as the framework for DI claims administration.
• 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.
• Proactively work to influence and motivate others while creating a climate that fosters customer focus and continuous learning and improvement.
• Develop and maintain claim handling standards and best practices, ensuring compliance with company philosophy, contract language and provisions, and state laws.
• 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.
• 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.
• Serve as a product line subject matter expert for new contract introductions and projects impacting claim handling.
• Represent the disability claim operation within the industry and act as a liaison within the home office.Knowledge, Skills & Abilities:
  • College degree in business or related field
  • Eight to ten years of experience with insurance products and claim processes and procedures
  • Demonstrated capability as a technical expert and leader, with a proven ability to lead, mentor, and develop others, and work effectively across teams
  • In-depth knowledge of insurance products, underwriting processes, medical and financial information, claim philosophy, and claim handling practices
  • Knowledge of and experience in managing claim legal issues and the litigation process
  • Excellent judgment and decision-making skills
  • Experience in negotiation and conflict management
  • Excellent verbal and written communication skills, including those for liaising with policyowners, legal counsel, financial experts, field members, and home office personnel
  • Experience in project leadership or similar effortsCompensation Range:Pay Range - Start:$84,350.00Pay Range - End:$156,650.00Northwestern 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 click 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 FUTUREWe're excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging.
    • Flexible work schedules
    • Concierge service
    • Comprehensive benefits
    • Employee resource groupsPandoLogic. Category:Insurance, Keywords:Insurance Examiner, Location:Franklin, WI-53132

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