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Claim Examiner - Life

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Date Posted: May 12, 2022

Location(s): Schenectady, NY, US, 12345

Company: MetLife

Job Location:
Schenectady, NY
Role Value Proposition:

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communiti es. The GlobalTechnology & Operati ons group (GTO) is a diverse team of engineers, developers, business analysts, claims analystsand project managers with the freedom to create innovati ve soluti ons to address core business challenges withMetLife. This role will review, research, and investi gate pended General Electric (GE) Group Life claim submissions withmulti ple coverages and complexity to determine if the claim is payable in accordance with all GE policy provisions. Ifpayable, determine eligible payee(s) and payment amount(s). If not payable, develop detailed lett er of explanati onbased on said policy provisions and claim documents. Provides customer service with empathy and pati ence onincoming and outgoing phone inquiries and provides guidance on life claim processes. In additi on, this role willresearch, determine and calculate benefi ts and amounts for vested pension and reti rement savings benefi ts inaccordance with all GE policy provisions. Provide appropriate paperwork to be completed based on eligibility forvested benefi ts. Submit for payment of benefi ts upon receipt and review of required documents.
This role will sit on-site with our customer.
Key Responsibilities:

   Virtual roles predominately work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc
Identify and obtain missing informati on required to evaluate GE Group life claims and input informati on into aWindows based computer system (BIOS).
Interpret GE policy provisions and manually adjudicate GE Group Life claims to make claim determinati ons.
Manage and organize work to meet multi ple deadlines and competi ng prioriti es to ensure departmentturnaround and customer sati sfacti on are met.
Maintain producti on and quality standards.
Uti lize multi ple systems for claim determinati on.
Essential Business Experience and Technical Skills:
Required:
High School Diploma or GED
2-4 years of experience in claims or customer service.
Strong data entry skills required.
Shares informati on and engages in candid and open dialogue. Expresses self well in conversati ons and viawritt en documents.
Outstanding customer service and communicati on skills both writt en and verbal
Preferred:
College degree or relevant job experience desirable.
Critical thinking in acti viti es requiring analysis, problem solving, investi gati on, and/or planning.
Projects an atti tude of service, empathy, and pati ence to all customers.
Ability to deal with people in stressful situati ons.
Ability to work periodic overti me when required.
PC knowledge required. (Microsoft Word and Excel)
At MetLife, we’re leading the global transformation of an industry we’ve long defined. United inpurpose, diverse in perspective, we’re dedicated to making a difference in the lives of ourcustomers.”
MetLife:

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 #: 125617

 


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