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Lead Short Term Disability Claims Specialist

Date Posted: Aug 10, 2019

Location: Marlborough, MA, US, 01752

Company: MetLife

Job Location:  Marlborough, MA              



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. Highest level individual contributor resource that manages claims within the STD org. This role will handle the most complex claims and be a leader and mentor within their site for claim management. This role will work with new hires to help them develop their skills related to claim decision making and service delivery. The Lead Claims Specialist will be a technical expert that will be a change agent and will be asked to participate on various continuous improvement projects to provide input on new ideas or designs influencing how we manage or service customers   


Key Responsibilities:

  • Makes independent decisions in managing assigned caseload of the most complex cases.
  • Determines appropriate claim decision. 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.
  • Articulates and documents 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.
  • Participates in hew hire onboarding as well as one on one coaching, mentoring and development.
  • Partners with leadership team to meet project goals related to quality, timeliness, customer service and staff development.
  • Reviews claim blocks, reports and data to track and analyze information against established claims metrics on standard and customized levels. Identifies best practices and opportunities works with leadership team to increase individual, team and organizational capabilities.



Essential Business Experience and Technical Skills:


  • High School Diploma; 5+ years of STD claim experience.
  • Knowledge of data collection, analysis and reporting techniques.



  • College Degree





 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 #: 110570 

Nearest Major Market: Boston