John Larosa

John Larosa Email and Phone Number

Manager, Disability Claims Operation LTD @ Elevance Health
Bath, ME, US
John Larosa's Location
Bath, Maine, United States, United States
John Larosa's Contact Details

John Larosa personal email

n/a
About John Larosa

Leader with proven ability to engage and motivate people to feel empowered and part of the business challenges as well as solutions. Demonstrated ability to lead and inspire others to exceed business objectives. Excellent foundation of group insurance and general business knowledge. Exceptional relationship-building and communication skills.

John Larosa's Current Company Details
Elevance Health

Elevance Health

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Manager, Disability Claims Operation LTD
Bath, ME, US
Employees:
42204
John Larosa Work Experience Details
  • Elevance Health
    Manager, Disability Claims Operation Ltd
    Elevance Health
    Bath, Me, Us
  • The Standard
    Manager Disability Benefits
    The Standard Apr 2024 - May 2024
    Portland, Oregon, Us
  • Elevance Health
    Manager, Disability Claims Operation Ltd
    Elevance Health Sep 2022 - Apr 2024
    Indianapolis, Indiana, Us
  • The Hartford
    Team Supervisor
    The Hartford Jun 2019 - Sep 2022
    Hartford, Ct, Us
    Long Term Disability (LTD) Settlements: Responsible for supervising the activities of the team members in the Settlement claims unit. I have been responsible for the integration of the LTD settlement team which consisted of bringing two teams together from different companies and creating one centralized settlement team within our organization. I work frequently with Practices and Legal on process changes, creation of settlement reporting for senior leaders and to identify critical daily team needs to improve performance as well as identify trends and build structures to achieve team objectives in addition to being responsible for monthly LTD settlement financial results.
  • Aetna
    Director Of Long Term Disability Claims
    Aetna Apr 2015 - Jun 2019
    Hartford, Connecticut, Us
    Responsible for supervising the activities of the team members in the Long Term Disability claims unit.Supervise and manage performance of sixteen direct reports to include guidance regarding general claim policy, contracts and terminology. Responsible for managing and coaching two informal leaders on the team, a Senior Technical Specialist and a Senior Disability Claims Consultant. Both roles provide coaching and training to the team under my guidance. In addition to LTD claim staff, responsibilities included oversight of the Financial Management Offset team.
  • Aetna
    Manager Group Insurance Long Term Disability Claims
    Aetna Dec 2013 - Apr 2015
    Hartford, Connecticut, Us
    Responsible for supervising the activities of the team members in the Long Term Disability (LTD) claims unit.Responsible for determination and payment authorization of LTD disability claims. Supervise and manage performance of employees and provide guidance to direct reports regarding general claim policy, contracts and terminology. Review and settle problematic claim cases, but otherwise extend settlement authority to direct reports. Communicate with clients and other internal and external areas. Have both technical and administrative responsibilities.
  • Aetna
    Team Leader
    Aetna Apr 2013 - Dec 2013
    Hartford, Connecticut, Us
    Responsible for staffing, training and supervising the activities of the team members in the Long Term Disability claims unit.
  • Prudential Financial
    Team Lead
    Prudential Financial Jul 2006 - Apr 2013
    Responsible for staffing, training and supervising the activities of the team members in the Long Term Disability (LTD) claims unit. Identify critical daily team needs and strive to improve performance as well as identify trends and build structures to achieve sub-team and team objectives.Provide direct reports with resources, training, ongoing and candid positive and constructive feedback; coach to enhance their likelihood of success.Responsible for determination and payment authorization of LTD disability claims.Supervise and manage performance of employees and provide education to direct reports regarding general claim policy, contracts and terminology.Review and settle problematic claim cases, extend settlement authority to direct reports when possible.Communicate with clients and other internal and external areas.Have both technical and administrative responsibilities.
  • Prudential Financial
    Sr. Disability Claims Manager
    Prudential Financial Apr 2004 - Jul 2006
    Made claim decisions and direct payments for Long Term Disability claims. Responsible for the Social Security Disability Income approved block of business. Managed acaseload averaging 280-300 claimants which included more complex disability cases.Designated interim Team Leader role for Social Security Disability Income block of business whoacted as point of contact to resolve concerns/issues with work-flow as well as create work-flow procedures, mentor six other associates and providetechnical/claims management direction as needed.Transitioned to Core LTD team and was responsible for set up of Long Term Disability claims, making initial liability and ongoing decisions, developing file plans, setting claim direction and any occupation determination.Utilized resources effectively including medical and vocational staffs to achieve optimum outcomes for claims direction.Interacted with internal and external customers including claimants, employers, physicians, and attorneys.
  • Aetna, Inc
    Long Term Disability Analyst
    Aetna, Inc Oct 2002 - Apr 2004
    Made claim decisions and direct payments for Long Term Disability claims.Responsible for set up of Long Term Disability claims in systems utilized; made claim decisions, developed case maps, set claim direction and tested change determination.Reviewed claims for premium waiver and identify potential settlement cases.Managed risk and made appropriate referrals to rehab, clinical, maintenance, and otherrisk management initiatives.Responded to daily inquires from employers, field representatives and claimants; provided telephonic education on Long TermDisability product, policies, and procedures.
  • Aetna, Inc
    Sales Support Consultant
    Aetna, Inc Aug 2001 - Oct 2002
    Provided marketing, technical, and administrative support to Sales Representatives and Account Management.Responsible for supporting Maine small group account sales by performing underwriting functions for Life, Health, and Dental products utilizing Aetna rating system tools.Responded to inquires from brokers and provide telephonic education on products, policies, and procedures.Took a lead role for Sales Support acting as point of contact to resolve concerns/issues, manage work-flow, and provide reports to management.Led training class on Aetna rating system tools and Maine underwriting procedures to newly developed underwriting team at New Jersey office and continued to act as a primary contact for issues and concerns.Acted as liaison to Northeast marketing team and field representatives for Maine specific issues, as well as Aetna rating system issues.
  • Aetna, Inc
    Sales Support Specialist
    Aetna, Inc Dec 2000 - Aug 2001
    Provided marketing, technical, and administrative support to field representatives.Responsible for supporting northeast account sales by acting as a proposal specialist using available applications/resources to complete questionnaires and proposal request.Analyzed and added value to information derived from multiple source areas to develop customized strategically oriented proposal responses.Provided marketing support to Northeast MarketingTeam and Field Representatives.
  • Aetna, Inc.
    Underwriting Analyst
    Aetna, Inc. Apr 1999 - Dec 2000
    Performed accurate underwriting and analysis and produced accurate and timely financial products.Analyzed data and other information for assigned cases to determine renewal rate action. Effectively utilized rating/financial tools, reference materials, and source systems for premium, membership, and claim information. Performed risk management functions as directed (e.g. claim determination and membership analysis) to set appropriate premium/fee levels. Provided training and support to field personnel to maintain a positive relationship with brokers and customers. That included assisting in presentations to educate field personnel with policies and procedures.Acted as liaison between underwriting department and IT staff to problem solve and support the department program system.
  • Cigna
    Small Case Underwriter
    Cigna Oct 1998 - Apr 1999
    Bloomfield, Ct, Us
    Small Case Underwriter - Responsible for the financial results of the book of small case business ​for assigned field sales offices.Responsibilities included underwriting new risks and proposing product revisions to existing business, underwriting renewal actions on existing business, determining appropriate renewal action and negotiating position with field recommending alternatives which ensure profitable case persistency, and coordinating resolution of account problems with appropriate internal areas.
  • Aetna, Inc
    Network Managementrepresentative/Consultant
    Aetna, Inc Jul 1995 - Oct 1998
    Actively supported network management team in the delivery of quality, service oriented and cost effective pharmacies to Aetna members.Responsible for responding to network inquires from providers, internal areas, and member request and for provider credentialing and contracting which included negotiating contracted rates with providers.Completed research and analysis to resolve concerns/issues raised by internal areas, providers, and members.Provided telephonic education to providers on policies and procedures.

John Larosa Skills

Risk Management Insurance Team Leadership Team Building Process Improvement Business Analysis Performance Management Coaching Task Management Analytical Skills Communication Cross Functional Team Leadership Customer Engagement Expectations Management

John Larosa Education Details

  • University Of Connecticut
    University Of Connecticut
    Economics

Frequently Asked Questions about John Larosa

What company does John Larosa work for?

John Larosa works for Elevance Health

What is John Larosa's role at the current company?

John Larosa's current role is Manager, Disability Claims Operation LTD.

What is John Larosa's email address?

John Larosa's email address is jo****@****ial.com

What schools did John Larosa attend?

John Larosa attended University Of Connecticut.

What skills is John Larosa known for?

John Larosa has skills like Risk Management, Insurance, Team Leadership, Team Building, Process Improvement, Business Analysis, Performance Management, Coaching, Task Management, Analytical Skills, Communication, Cross Functional Team Leadership.

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