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Claims Specialist
MetLife
Oriskany, NY, United States
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Role Value Proposition:
Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We’re looking for unique talent with fresh perspectives that can propel innovation. In this role you will provide exemplary customer service by processing group disability claims in an efficient, timely and accurate manner.
Key Responsibilities:
• Independently assess, analyze and render appropriate claim decisions pursuant to certificates.
• Clarify functional capacity through independent problem solving measures and discretion (gathering medical, vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability.
• Adhere to federal and state law to maintain appropriate and timely claim outcomes.
• Communicate with a variety of constituents (for example, claimants, doctors, nurses, employers, and attorneys) to gather information relevant to assessing, analyzing and rendering decisions based on the provisions of the policy and their own discretion, with limited guidance by supervisory personnel.
• Utilize tools independently and accurately to identify work to be completed across the entire claim block, prioritize work, determine if/when to involve specialty resources such as clinical staff to obtain additional information on a claim.
Essential Business Experience and Technical Skills:
Required
• 1-3 years of Long Term Disability Claims Experience
• Customer service oriented
• Strong communication skills, both written and oral
• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning
Preferred
• Bachelor’s Degree preferred
Travel
0-5%
Business Category
Global Technology and Operations
Number of Openings
1
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.”
MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on 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.
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Requisition #: 96361