MetLife

Job Location: Must be commutable distance to MetLife Office in San Juan, Puerto Rico 

In office once a month for office meetings

Role Value Proposition:  

Provides exemplary internal support to group disability income insurance claims by processing/evaluating claims in a timely and accurate manner.

Key Responsibilities:  

·       Supports the claim adjudication team with the initial claim setup in accordance with the plan provisions, identifies potential recurrent claims and utilizes several systems to verify coverage

·       Structures LTD claims based on claim receipt date

·       Verifies disability coverage (STD/Statutory/LTD) through use of appropriate systems

·       Inputs data and evaluates claimant eligibility via information received from claimant, physician, and employer.

·       Follows established claim policies and practices to identify any potential claim issues

·       Reviews claim detail and makes necessary outbound calls as needed

·       Performs other related duties as assigned or required

Essential Business Experience and Technical Skills: 

Required:

·       High school diploma

·       Excellent computer skills

·       Critical thinking in activities requiring analysis and investigation

·       Strong communications skills, both written and oral

·       Ability to prioritize and maintain quality

Preferred:

·       2+ years relevant business experience

·       Some college

·       Basic knowledge of STD, LTD, group disability, workers compensation, ERISA, social security, and state laws