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MetLife
FL, United States
16 days ago
MetLife
FL, United States
30+ days ago
MetLife
Florida, United States
16 days ago

Description

Job Location: Tampa, FL

Role Value Proposition:

Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship with claimants in order to understand their perspective on their disability. Using that perspective and other information, identifies the claimant's functional capacity and leverages that capacity within the context of the contract to support and encourages return to work as appropriate.

Key Responsibilities:
    • Manages overall block of assigned claims in accordance to 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
    • 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 updates partners that may be working with the claimant when key events are being considered or have occurred. (Closure, RTW, etc.)
    • Accountable approves key decisions made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates other income/offsets in accordance with Customer's plan/policy
    • Actively demonstrate key behaviors - Active and engaged participant in regularly scheduled 1:1s and daily team huddles, Promotes and participate in a work environment including successfully working with others to achieve desired results; contributes to team goals, projects; exchanges ideas, opinions, develops positive working relationships.
    • Performs other related duties as assigned or required


Essential Business Experience and Technical Skills:

Required:

  • 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
  • Ability to give and receive feedback to/from partners
  • Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
  • Prioritization skills. Ability to balance quantity and quality.
  • High School Diploma


Preferred:
  • Associate Degree
  • 2 plus years of claims management experience preferably in Healthcare field
  • Proficient in Microsoft Word/Excel


Key Competencies, Qualifications and Skills, Preferred:
  • Some college or degree preferred.
  • Prior STD and/or Family Medical Leave Act claims knowledge preferred.
  • Strong communication skills, both written and oral.
  • Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
  • Strong problem solving and analytical skills.
  • Ability to work independently.
  • Ability to multitask, comfortable working with multiple priorities in a changing environment.
  • Ability to prioritize and maintain quality

MetLife:

MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are one of the largest institutional investors in the U.S. with $642.4 billion of total assets under management as of March 31, 2021. We are ranked #46 on the Fortune 500 list for 2021. In 2020, we were named to the Dow Jones Sustainability Index (DJSI) for the fifth year in a row. DJSI is a global index to track the leading sustainability-driven companies. We are proud to have been named to Fortune magazine's 2021 list of the "World's Most Admired Companies."

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.

We want to make it simple for all interested and qualified candidates to apply for employment opportunities with MetLife. For further information about how to request a reasonable accommodation, please click on the Disability Accommodations link below.

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

Requisition #: 119789

Job Information

  • Job ID: 58608366
  • Location:
    Florida, United States
  • Position Title: Short Term Disability Claims Specialist
  • Company Name: MetLife
  • Job Function: Adjuster

Please refer to the company's website or job descriptions to learn more about them.

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