Saltar al contenido
Ubicaciones

  • Posting Location: Bloomfield, Connecticut

  • Posting Location: Oriskany, New York

País
Estados Unidos
Acuerdo de trabajo
Tiempo completo
¿Es necesario desplazarse largas distancias?
Asistencia de reubicación disponible
No
Fecha de publicación
02-May-2024
ID del trabajo
2567

Descripción y requisitos

Short Term Disability Claims Specialist

Job Location: Virtual (AFTER TRAINING), but must be in commutable distance from Oriskany, NY or Bloomfield, CT        

TRAINING WILL BE IN PERSON.                                                 


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





The salary range for applicants for this position is 45000.00.
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!
Acerca de MetLife

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!
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.
45000.00