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País
Estados Unidos
Arranjo de trabalho
Tempo integral
Modelo de Trabalho
Virtual
Assistência de realocação disponível
Não
Data de publicação
21-Idade-2025
ID da vaga
11794

Descrição e requisitos

An expert technical resource to the claim team who supports the team members and the STD Unit Leader in ensuring claim management accuracy, customer centricity and efficiency. Coaches and mentors team members to enhance their knowledge, skills, and effectiveness as claim-management professionals. . 



Key expectations:

•Partners with the STD Unit Leader to analyze, identify and implement strategies to enhance claim management, customer centricity and efficiency of their team while monitoring strategy effectiveness
•Drives Claim Management Accuracy and Customer Centricity through the QQA program by auditing claim file reviews including monthly call monitoring for Claims Specialist to identify improvement opportunities, skillset gaps, trends for quality, service and/or compliance
•Fully engages in customer focused training; model learned behaviors.
•Supports and guides assigned team member(s) to ensure that they have the knowledge, skills, tools, and resources to be successful in achieving expectations 
•Supports team to meet or exceed regulatory and compliance requirements, and performance guarantee commitments.
•Coaches and mentors new hires to enhance their skills, knowledge, and effectiveness as Claim Specialists. Assesses new hire readiness or independent work. 
•Reviews and approves key decisions made by team member(s) within authority limit
•Assesses and provides information, trends, and observed behaviors of assigned team members to the STD Unit Leader. Partners with the STD Unit Leader as appropriate to enhance the performance of those team members.
•Identifies and facilitates claim discussions on highly complex claims with the appropriate resources including STD Unit Leader, Clinical Resources and Vocational Rehabilitation Consultants
•Supports team members to ensure that team members are effectively transitioning claims to LTD (as appropriate)
•Mentors team members to ensure they are identifying and facilitating Return to Work opportunities through their own efforts or by engaging the appropriate resources.
•Provides candid and specific feedback to team members in order to support their growth and development

Key skills:

•A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
•Strong communication skills, including the ability to coach Case Specialist 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
•Expertise knowledge of system and tools, ie…MDG, DPA, Intellis and how to leverage tools to improve claim management effectiveness
•Strong Coaching/Mentoring skills
•Critical-thinking skills
•Ability to give and receive feedback using specific measurements and observed behaviors
•Openness to receiving feedback 
•Strategic-thinking skills 
•Prioritization skills. Ability to balance quantity and quality 
The expected salary range for this position is $53,000 - $70,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
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!
Sobre a MetLife

 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 is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law (“protected characteristics”).

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.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$53,000 - $70,000