Descripción y requisitos
· Analyze, validate and process transactions as per Desktop procedures (L3 & L4)
· Analyze and research all discrepancies.
· Research & Investigate and resolve outstanding items
· Determine eligibility and applicable plan provisions while meeting timeliness goals
· Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email
· Establish action plans for each file to bring claims to resolution
· Utilize internal and external specialty resources to maximize impact on each claim file
· Utilize Intellis and ACS (SIR) to update and maintain accurate data record
· Use PC programs to increase productivity and performance
· Ensure that the assigned targets are met in accordance with SLA and Internal standards
· Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
· Work as a team member to meet office goals to obtain disability’s vision while demonstrating core values and meeting key measures.
· Ensure adherence to established attendance schedules
· Sedentary work – involves sitting most of the time
· Close visual acuity - viewing a computer terminal and extensive reading
· Talking – expressing or exchanging ideas by means of the spoken word
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!