MetLife

Job Title

Short-Term Disability Claim Specialist

Job Location

Virtual within a commutable distance of Tampa FL. New Hires must live within a commutable distance of Tampa FL. 

Training

IN-PERSON TRAINING for up to 7 weeks.  

Key Expectations

• Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc
• Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support return to work through a variety of programs and methodologies. 
• Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her. 
• Partners with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, his or her functional capacity and the prognosis for an increase in that capacity. 
• Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
• Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision. 
• Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
• Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).

Key skills

Required

• New hires should live a commutable distance from the site the role is posted in.
• 1-2 years of customer service experience in insurance claims (home, auto, life, etc.)  
• A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
• Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim. 
• Basic knowledge of medical conditions, treatments, prognosis.
• Critical-thinking skills.
• Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
• High School Diploma or GED Equivalent. 
• This role has mandatory paid training starting on April 13th. Candidates must be available and present for all training days.  

Preferred

• 1-2 years of experience handling Absence Management Claims.
• Call center experience in an insurance setting.
• Prior experience with STD, LTD, FMLA, and/or ADA,
• Previous experience in claims management.  
• Ability to give and receive feedback to/from partners 
• Prioritization skills. Ability to balance quantity and quality. 
• College or University Degree.  

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.