Descrição e 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!
Reconhecida na lista da revista Fortune das "Empresas Mais Admiradas do Mundo" de 2023, bem como na lista das 100 Melhores Empresas para Trabalhar da Fortune ® de 2023, a MetLife, através de suas subsidiárias e afiliadas, é uma das principais empresas de serviços financeiros do mundo; fornecendo seguros, anuidades, benefícios a funcionários e gestão de ativos para clientes individuais e institucionais. Com operações em mais de 40 mercados, ocupamos posições de liderança nos Estados Unidos, América Latina, Ásia, Europa e Oriente Médio.
Nosso objetivo é simples: ajudar nossos colegas, clientes, comunidades e o mundo em geral a criar um futuro mais confiante. Unidos por um propósito e guiados pela empatia, somos inspirados a transformar o próximo século nos serviços financeiros. Na MetLife, é #AllTogetherPossible. Junte-se a nós!
MetLife maintains a drug-free workplace.