MetLife

Key Responsibilities: 

• Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws.
• Creates and executes individual claim action plans, serves as point of contact for the claimant and provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication, and makes claim decisions. 
• Proactively communicates/updates to partners that may be working with the claimant when key events are being considered or have occurred (Closure, RTW, etc.)
• Meet and Exceed Operational Efficiency goals, Demonstrate Service Delivery and Customer Satisfaction goals, including prioritizing actions, appropriately utilizing resources timely, maintain data integrity through accurate benefit decision and payment.
• Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000 per week per claim decisions made in accordance with Customer provisions. 
• Performs other related duties as assigned or required.

Essential Business Experience and Key Behaviors, 

Required:

• 1 year experience in leave claims (Short Term, Long Term, FMLA, Military, etc.)
• High School Diploma or GED Equivalent. 
• Understands value in building rapport and develops positive working relationships.
• Quickly grasps information and efficiently solves verbal challenges with strategic thinking.
• Communicates complex verbal and written concepts with ease.
• Pays close attention to details, and accounts for details that may be overlooked.
• Professionally demonstrate empathy to others

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Key Competencies, Qualifications and Skills, Preferred:

• Associate's degree or higher.
• 1-2 years of claims management experience preferably in healthcare field.
• Proficient with Microsoft office software.
• Provide original insights on familiar subjects.
• Balances task work while adapting to change and exploring new innovative ideas.
• Ability to prioritize and maintain quality.
• Motivated by their interactions with others.
• Prior STD and Family Medical Leave Act claims knowledge.
• An understanding of disability contractual provisions.