Job Information
MetLife STD / LTD Claim Specialist in United States
STD / LTD Claim Specialist
City/Cities
Aurora, Bloomfield, Cary, Omaha, Oriskany, Tampa
State(s)
Connecticut, Florida, Illinois, Nebraska, New York, North Carolina
Country
United States
Working Schedule
Full-Time
Commutable Distance Required
Yes
Relocation Assistance Available
No
Posted Date
05-Mar-2024
Job ID
1706
Description and Requirements
Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC or Aurora, IL Omaha NE, office
Role Value Proposition:
At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will provide exemplary customer service by processing STD/LTD disability claims in a timely and accurate fashion.
Key Responsibilities:
· Independently assess, analyze and render appropriate claim decisions on STD, LTD, PML and state claims
· 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 clearly and concisely to influence return to work, discuss terms of the certificate, and the basis for payment/non-payment.
· 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.
· Articulate and document their rationale for claim direction, possess the autonomy to take steps outside of CMG guidelines to the extent supported by documented rationale and the facts of the claim file.
· 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.
· As the sole owner of all associated claims, determine return to work potential and strategy, identify a likely claim progression based on the facts of the claim and take action on their own assessment of the claim.
· Perform other duties as required.
Essential Business Experience and Technical Skills:
Required:
· Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT, Cary, NC or Aurora, IL office.
· High School Diploma
· 2+ years of short or long-term disability (STD/LTD) experience
· Experience using either DPA or Intellis systems
Preferred:
· Bachelor’s degree
· Strong communication skills, both written and oral.
· Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
· Strong problem solving and analytical skills.
The wage range for applicants for this position is $41,600 - $68,100. This role is also eligible for annual short-term incentive compensation. MetLife offers a comprehensive benefits program, including healthcare benefits, life insurance, retirement benefits, parental leave, legal plan services and paid time off. All incentives and benefits are subject to the applicable plan terms.
MetLife maintains a drug-free workplace.
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.
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!
About MetLife
Recognized on Fortune magazine's list of the 2023 "World's Most Admired Companies" as well as the 2023 Fortune 100 Best Companies to Work For ®, 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 individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we’re inspired to transform the next century in financial services. At MetLife, it’s#AllTogetherPossible (https://www.metlifecareers.com/ml/GreatPlaceToWork) . Join us!
Equal Employment Opportunity/Disability/Veterans
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.