MetLife Employment – Senior Short Term Disability Claims Specialist

Job Description:

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.

Job 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.)
• Performs other related duties as assigned or required
• 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
• 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.

Job Requirements:

• Balances task work while adapting to change and exploring new innovative ideas
• Quickly grasps information and efficiently solves verbal challenges with strategic thinking
• Professionally demonstrate empathy to others
• Ability to prioritize and maintain quality
• Communicates complex verbal and written concepts with ease
• Understands value in building rapport and develops positive working relationships
• Provide original insights on familiar subjects
• Motivated by their interactions with others
• Pays close attention to details, and accounts for details that may be overlooked
• New hires should live a commutable distance from the site the role is posted in.

Qualification & Experience:

• Ability to work independently
• Associate Degree or higher
• Prior STD and Family Medical Leave Act claims knowledge
• 2 plus years of claims management experience preferably in Healthcare field
• An understanding of disability contractual provisions
• Proficient with Microsoft office software

Job Details:

Company: MetLife

Vacancy Type:  Full Time

Job Location: Aurora, IL, US

Application Deadline: N/A

Apply Here

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