Senior STD Claims Specialist Job at MetLife, United States

Z2hOSWtTb3N3YmdhUWNOVHlTbmtyWldFSVE9PQ==
  • MetLife
  • United States

Job Description

Job Location: 100% Fully Virtual 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 * Conducts reviews and analyses and corresponds with relevant parties. * Supports the maintenance of customer-specific data to ensure quality and accuracy. * Handle second level escalated customer contacts and phone referrals requiring additional research. * Manages an assigned caseload of moderately complex claims. * Develops and maintains strong working relationships with internal and external customers. * Performs other related duties as assigned or required Essential Business Experience and Key Behaviors, Required: * 1-3 years of Disability Claims Experience in STD * 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 Key Competencies, Qualifications and Skills, Preferred: * Associate degree or higher * Proficient with Microsoft office software * Prior STD and Family Medical Leave Act claim knowledge * Ability to work independently * An understanding of disability contractual provisions Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. 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.

Job Tags

Work at office, Local area,

Similar Jobs

Addison Kenway.

Mohs Surgery Physician Job at Addison Kenway.

 ...6750181~ Seeking a BC/BE physician to assist dermatologist with patient load in Ohio. ~ Practice offers medical, surgical and cosmetic dermatology services in a state of the art practice. ~Experienced physician or recently completed resident will be considered.... 

Downtown Emergency Service Center

Mental Health Clinical Supervisor - HOST Job at Downtown Emergency Service Center

Description: Days Off: Saturday, Sunday Shift: Office Day Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA...

Carlton Electric Inc

Social Media Manager Job at Carlton Electric Inc

 ...innovative and progressive company looking to add an Experienced Social Media Manager to our remote team. To further our online presence and foster...  ..., and chances to connect with our target audience. - Work closely with in-house teams to produce captivating and top-notch... 

STHS Children's

Child Life Specialist FT Job at STHS Children's

 ...required. 3. Bachelors Degree in Child Development or directly related field is...  ...required. 4. Certification through Child Life Council OR 5. Minimum 480 hour...  ...supervision of a Certified Child Life Specialist. EEO Statement All UHS... 

AutoZone, Inc.

Commercial Driver - Part Time Job at AutoZone, Inc.

 ...environment. Be part of an energizing culture rooted in people and a commitment to delivering WOW! Customer Service. As a Delivery Driver, you'll put your safe driving skills to work and enjoy career stability with endless growth opportunities. AutoZone offers career...