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Life Claims Supervisor-Gerber Life Insurance Company

Job Number 18004081
Company Nestle Nutrition
Location Fremont, Michigan
Gerber Life Insurance is the world's leading juvenile life insurer; an operating unit of Nestle. Gerber Life has initiated a multi-year business and legacy technology transformation program to minimize manual and batch-centric system processing by enabling enterprise-wide high-availability and real-time life insurance transaction processing. A new modernized life insurance policy management platform will be developed with internal and external resources and will include new business, claims, policy servicing & billing and collections capabilities. A core team of infrastructure engineers are needed to install a new physical infrastructure architecture that can support Gerber Life's new business strategy. Infrastructure for all existing systems will continue to be supported by this team as well.
Gerber Life Insurance Company is an equal opportunity employer.
POSITION SUMMARY:
Responsible for ensuring adequate coverage to handle life claim adjudication, from evaluation to final action, utilizing full time associates, temporary employees and a third party administrator, if applicable.
PRIMARY RESPONSIBILITIES:
Responsible for hiring, training, coaching, developing and motivating competent staff. Foster a wellness culture creating an environment of continuous process improvement. Drive and implement changes.
Responsible for department's performance, production, quality and adherence to policies and procedures. Including developing reasonable expectancies and goal setting.
Ensure compliance with Life and Health Claim State Regulations. Facilitates State Department Claim Exams.
Communications and contacts are frequently with individuals representing other departments (including Legal, Compliance and Actuarial), and/or representing outside organizations (State INS Dept, Examiners, Attorneys). Contacts involve planning and preparation of communications requiring skills such as tact, persuasion and/or negotiation to accomplish identified objectives.
Provide management with timely, relevant and accurate reporting of activities and productions statistics.
Identify and implement internal control and process improvements. Perform documentation and testing procedures.
Evaluate claim information and decide appropriate course of action to properly assess, clarify, and appraise the claim in compliance with policy provisions, claim procedures, legal requirements and professional ethics.
Qualifications
EDUCATION AND MINIMUM REQUIREMENTS:
Bachelor's degree or combination of education and relevant experience
ALHC, FLHC or other relevant professional accreditation
EXPERIENCE:
7-10 plus years Life/Health Claims work experience at a high level
3-5 plus years Supervisory/Management experience
Advanced understanding of compliance with Life and Health State Regulations
Working knowledge of WORD and EXCEL(Pivot Table function)
Working knowledge of regulatory, state & federal compliance
Use and general understanding of internal or external audit processes
Individual Life Insurance background is preferred-Has completed additional training / educational courses toward the attainment of designations such as ALHC, FLHC
The Nestl? Companies are equal employment and affirmative action employers and looking for diversity in qualified candidates for employment.



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