Share this Job

Short Term Disability Claims Support Specialist

Date Posted: Nov 23, 2021

Location: Bloomfield, CT, US, 6002

Company: MetLife

Job Location: United States : Connecticut : Bloomfield  

Alternate Job Location : Not Applicable : Not Applicable  

                                               

 

Role Value Proposition: 

    • Ensures that the team achieves or exceeds its business objectives in the areas of Claim Management Accuracy, Customer Centricity and Expense Management. Sets clear expectations of performance according to the MetLife vision and holds the team accountable to those expectations. Ensures that team has the knowledge, skills, and tools to be successful and provides support as appropriate.
       
      Key Responsibilities: 
       
    • Partners with the STD Unit Leader to analyze and Identify barriers for the success and efficiency of their team.   Supports and guides assigned team member to ensure that they have the knowledge and skills, tools, and resources to be successful in achieving those expectations by delivering on commitments, timely return of phone calls, clear communication, accuracy of decisions and financial accuracy
    • Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA Program, claim file reviews and call monitoring auditing claim file reviews to identify improvement opportunities, skillset gaps, trends for quality, service and/or compliance
    • Accountable for Reviews and 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
    • Managing operation efficiency goals and provides positive reinforcement to team members that is directly linked to their behaviors and performance objectives and maintains data integrity.
    • 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.
  • Ability to coach and mentor members of the team
  • 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.
  • Ability to Partner with Internal/External Customers
  • High School Diploma

 

Preferred:

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

 

Key Competencies, Qualifications and Skills, Preferred:

  • Prior STD, state leave 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

 

Global Customer Service and Operations serves MetLife’s customers around the world, fulfilling their servicing, underwriting, policy administration and claims needs.  We are guided by our purpose, putting the customer at the center of everything we do.  As one team, we enable global consistency while addressing local needs to best support our markets. And, just like our customers are at the center, so are our people. Our teams' customer journey mindset ultimately fuels a contemporary customer experience, differentiating MetLife in the market.

 

Travel

0%

 

Business Category

Global Technology & Operations_16846

 

Number of Openings

2

 

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:

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 #: 120316