Company Overview
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Job Description
At Enlyte, we are committed to delivering exceptional customer service and driving continuous improvement within our claims operations. We are seeking a seasoned claims management professional to leverage their expertise, leadership skills, and strategic mindset to make a meaningful impact on our organization. Your ability to analyze claims data, identify trends, and develop innovative solutions will be instrumental in achieving our departmental goals and enhancing the overall customer experience.
This is a remote position, and the candidate can be located anywhere within the United States. However, a preferred candidate would be someone based in the Philadelphia, Pennsylvania or Atlanta, Georgia metropolitan areas.
In this role, your key responsibilities will be:
- Manage a team of claims developers, including hiring, training, performance management, and professional development
- Train and assign workloads to claims staff, providing guidance and support to ensure timely and accurate processing
- Review and approve complex or high-value claims, ensuring adherence to company policies and procedures
- Analyze claims data and identify trends to develop strategies for reducing losses and improving claims handling
- Collaborate with other departments, such as underwriting and legal, to resolve complex claims issues
- Implement process improvements and streamline workflows to increase productivity and reduce processing times
- Serve as a subject matter expert, providing guidance and support to the claims team on coverage interpretation, negotiation tactics, and settlement strategies
- Monitor and report on key performance indicators (KPIs) to measure the department's effectiveness and identify areas for improvement
- Ensure compliance with all applicable laws, regulations, and industry standards
- Foster a positive work environment and promote a culture of continuous learning and improvement
Qualifications
- Bachelor's degree or equivalent combination of education and relevant experience
- Juris Doctor (J.D.) degree and active bar license preferred
- 7+ years of experience in social security claims management
- Strong leadership and team management skills; 2-3 years managerial experience
- Excellent problem-solving and decision-making abilities
- Thorough understanding of social security claims handling processes
- Proficient in using claims management software and data analysis tools
- Exceptional communication and interpersonal skills
- Ability to work under pressure and meet deadlines
Benefits
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $80,541.00 - $100,000.00 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
