MetLife

Job Title

Group Life Claim Reviewer

Job Location

Virtual within a commutable distance of Oriskany / Central NY. New Hires Should live within a commutable distance of our office in Oriskany NY.

Training

In- Person Training for 4 to 6 weeks, Monday through Friday, 8 AM to 4:30 PM.

Functional Responsibilities

• Checks Group Life claim documentation or other company forms for completeness and accuracy.    
• Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.      
• Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.
• Reviews data from various sources, including policyholders; translates it into appropriate media for input into a Windows based computer system (BIOS).
• Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.
• Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.
• Completes all work within turnaround time to meet department and customer objectives.
• Maintain production and quality standards.
• Ensure compliance with state regulations for Group life claims by sending appropriate notifications.
• Perform support functions as needed.
• Provide high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees and administration; resolve customer issues swiftly and thoroughly by offering recommendations and solutions.
• Mentor Reviewers as needed
• Provide compassionate call outs to claimants to assist with the claims process and offer additional services.

Essential Business Experience and Technical Skills:

Required

• New hires should live a commutable distance from the site the role is posted in.
• Strong communication skills, both written and oral.
• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
• Experience with Microsoft Suite (Word, Excel, Teams, etc.) 
• 1+ years Customer Service background with a focus on delivering white glove service to clientele.
• High School Diploma or GED equivalent.
• Candidates must be available for all days of in person training for up to 6 weeks starting on February 2nd. 

Preferred

• 1+ years’ experience in a call center. Focus on outbound calls preferrable.
• Prior experience reviewing insurance claims.
• Background in Life Claims (Claim intake and Notice of Loss).
• College Degree or high education. 

At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.