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Sr. Long Term Disability Claims Specialist

Date Posted: Mar 21, 2019

Location: Bloomfield, CT, US, 06002

Company: MetLife

Job Location: Bloomfield, CT                       Alternative Job Location: Remote, United States

 

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, while adhering to federal and state law to maintain appropriate and timely claim outcomes.
  • 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.
  • 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.
  • 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:

 

  • 5 or more years of Long Term Disability claim experience
  • Customer service experience 
  • Strong communication skills, both written and oral
  • Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning
  • Ability to work independently and assigned manage caseload

Preferred:

  • Bachelor’s Degree preferred

 

Travel

None

 

Business Category

Global Technology and Operations

 

 

 

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.

For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

Requisition #107577


Nearest Major Market: Hartford