
Website MetLife
Job Description:
Responsible for the expedient management and resolution of customer-initiated claim escalations, inquiries, or claim processing questions while ensuring the highest level of customer satisfaction.
Job Responsibilities:
- Makes recommendations about potential service or process improvements based on nature of customer trends being identified
- Maintains data integrity of DCA database
- Performs other related duties as assigned or required
- Thoroughly investigates and resolves customer concerns while maintaining highest standards of objectivity and integrity
- Utilizes available resources to enhance trending analysis (DCA Database, escalations received)
- Handles escalations funneled through other areas as well, such the account team and the claims organization
- Performs root cause analysis, identifies trends, and proactively works with internal partners to rectify issues identified and enhance overall service satisfaction of customers
- Assists internal partners in development of resolution action plans and monitors progress until full resolution has been achieved
- Interacts with all levels of organization, including Legal, Disability Privacy Office, Account teams, Disability Operations, and Disability Consultants to resolve customer escalations
Qualification & Experience:
- Strong knowledge of current process and technology in place to support the existing Disability Customers
- 3+ years Disability claims management experience, including knowledge of other Employee Benefit programs (e.g., Workers Compensation, Life Insurance) and relative Federal and State Laws
- High school diploma
- Knowledge of all Disability product lines (STD, LTD, FMLA, statutory claims) required
- Possess basic knowledge of Microsoft tools (Excel, Project, PowerPoint)
Job Details:
Company: MetLife
Vacancy Type: Full Time
Job Location: Aurora, IL, US
Application Deadline: N/A
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