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Sr. Short Term Disability Claim Specialist

MetLife • Full-time • Remote (US) • 3w ago

Country

United States

Working Schedule

Full-Time

Work Arrangement

Virtual

Commutable Distance Required

Relocation Assistance Available

Posted Date

13-Sep-2024

Job ID

4472

Description and Requirements

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will provide exemplary customer service by processing group disability claims in a timely and accurate fashion.

Job Location: Virtual but must be in commutable distance from Bloomfield, CT

Role Value Proposition:

Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship with claimants to understand their perspective on their disability. Using that perspective and other information, identifies the claimant’s functional capacity and leverages that capacity within the context of the contract to support and encourages return to work as appropriate.

Key Responsibilities:

Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws
Creates and executes individual claim action plans, serves as point of contact for the claimant and provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication, and makes claim decisions. Proactively communicates/updates to partners that may be working with the claimant when key events are being considered or have occurred (Closure, RTW, etc.)
Meet and Exceed Operational Efficiency goals, Demonstrate Service Delivery and Customer Satisfaction goals, including prioritizing actions, appropriately utilizing resources timely, maintain data integrity through accurate benefit decision and payment
Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000 per week per claim decisions made in accordance with Customer provisions
Performs other related duties as assigned or required

Essential Business Experience and Key Behaviors, Required:

Understands value in building rapport and develops positive working relationships
Motivated by their interactions with others
Quickly grasps information and efficiently solves verbal challenges with strategic thinking
Communicates complex verbal and written concepts with ease
Pays close attention to details, and accounts for details that may be overlooked
Professionally demonstrate empathy to others
Provide original insights on familiar subjects
Balances task work while adapting to change and exploring new innovative ideas
Ability to prioritize and maintain quality
High School Diploma

Key Competencies, Qualifications and Skills, Preferred:

Associate Degree or higher
2 plus years of claims management experience preferably in Healthcare field
Proficient with Microsoft office software
Prior STD and Family Medical Leave Act claims knowledge
Ability to work independently
An understanding of disability contractual provisions

Benefits We Offer

Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!

About MetLife

Recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies" as well as the 2024 Fortune 100 Best Companies to Work For ®, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.

Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!

Equal Employment Opportunity/Disability/Veterans

If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

MetLife maintains a drug-free workplace.