Short Term Disability Claim Specialist
1 week ago
Short Term Disability Claims Specialist
Job Location: Virtual (AFTER TRAINING), but must be in commutable distance from Tamps, FL or Bloomfield, CT
TRAINING WILL BE IN PERSON.
Role Value Proposition:
Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship with claimants to understand their perspective on their disability. Using that perspective and other information, identifies the claimant's functional capacity and leverages that capacity within the context of the contract to support and encourages return to work as appropriate.
Key Responsibilities:
- Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws
- Creates and executes individual claim action plans, serves as point of contact for the claimant and provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication, and makes claim decisions. Proactively communicates/updates to partners that may be working with the claimant when key events are being considered or have occurred (Closure, RTW, etc.)
- Meet and Exceed Operational Efficiency goals, Demonstrate Service Delivery and Customer Satisfaction goals, including prioritizing actions, appropriately utilizing resources timely, maintain data integrity through accurate benefit decision and payment
- Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000 per week per claim decisions made in accordance with Customer provisions
- Performs other related duties as assigned or required
- Understands value in building rapport and develops positive working relationships
- Motivated by their interactions with others
- Quickly grasps information and efficiently solves verbal challenges with strategic thinking
- Communicates complex verbal and written concepts with ease
- Pays close attention to details, and accounts for details that may be overlooked
- Professionally demonstrate empathy to others
- Provide original insights on familiar subjects
- Balances task work while adapting to change and exploring new innovative ideas
- Ability to prioritize and maintain quality
- High School Diploma
- Associate Degree or higher
- 2 plus years of claims management experience preferably in Healthcare field
- Proficient with Microsoft office software
- Prior STD and Family Medical Leave Act claims knowledge
- Ability to work independently
- An understanding of disability contractual provisions
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 . Join us
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at 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.
$45,000.00
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