Descripción y requisitos
Responsible for the expedient management and resolution of customer-initiated claim escalations, inquiries, or claim processing questions while ensuring the highest level of customer satisfaction.
Key Responsibilities
· Performs root cause analysis, identifies trends, and proactively works with internal partners to rectify issues identified and enhance overall service satisfaction of customers.
· Customer Facing
· Single Point of contact for Claims and Service re: Escalated customer concerns/issues
· Assigned to At Risk customers
· Thoroughly investigates and resolves customer concerns while maintaining highest standards of objectivity and integrity.
· Handles escalations funneled through other areas as well, such the account team and the claims organization.
· Utilizes available resources to enhance trending analysis (DCA Database, escalations received).
· Makes recommendations about potential service or process improvements based on nature of customer trends being identified.
· Assists internal partners in development of resolution action plans and monitors progress until full resolution has been achieved.
· Interacts with all levels of organization, including Legal, Disability Privacy Office, Account teams, Disability Operations, and Disability Consultants to resolve customer escalations.
· Maintains data integrity of DCA database.
· Performs other related duties as assigned or required.
Essential Business Experience and Technical Skills
· High school diploma.
· 5+ years Disability claims management experience preferred, including knowledge of other Employee Benefit programs (e.g., Workers Compensation, Life Insurance) and relative Federal and State Laws.
· Knowledge of all Disability product lines (STD, LTD, FMLA, statutory claims).
· Strong knowledge of current process and technology in place to support the existing Disability Customers.
· Possess basic knowledge of Microsoft tools (Excel, Project, PowerPoint).
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!
Reconocida en la lista de la revista Fortune de las "Empresas más admiradas del mundo" de 2023, MetLife, a través de sus subsidiarias y afiliadas, es una de las empresas de servicios financieros líderes en el mundo; proporcionando seguros, anualidades, beneficios para empleados y gestión de activos a clientes individuales e institucionales. Con operaciones en más de 40 mercados, ocupamos posiciones de liderazgo en Estados Unidos, América Latina, Asia, Europa y Medio Oriente.
Nuestro propósito es simple: ayudar a nuestros colegas, clientes, comunidades y al mundo en general a crear un futuro más seguro. Unidos por un propósito y guiados por la empatía, estamos inspirados para transformar el próximo siglo en servicios financieros. En MetLife, es #AllTogetherPossible. ¡Únete a nosotros!
MetLife maintains a drug-free workplace.