RTX STD Claim Specialist

MetLife • Clarks Summit, PA • 6d ago

Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR office

Once a month in office for meetings

Key Responsibilities:

· Independently assess, analyze and render appropriate claim decisions on STD, PML and state claims

· Clarify functional capacity through independent problem-solving measures and discretion (gathering medical, vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability.

· Adhere to federal and state law to maintain appropriate and timely claim outcomes.

· Communicate clearly and concisely to influence return to work, discuss terms of the certificate, and the basis for payment/non-payment.

· Communicate with a variety of constituents (for example, claimants, doctors, nurses, employers, and attorneys) to gather information relevant to assessing, analyzing and rendering decisions based on the provisions of the policy and their own discretion, with limited guidance by supervisory personnel.

· Articulate and document their rationale for claim direction, possess the autonomy to take steps outside of CMG guidelines to the extent supported by documented rationale and the facts of the claim file.

· Utilize tools independently and accurately to identify work to be completed across the entire claim block, prioritize work, determine if/when to involve specialty resources such as clinical staff to obtain additional information on a claim.

· Determine return to work potential and strategy, identify a likely claim progression based on the facts of the claim and take action on their own assessment of the claim.

· Perform other duties as required.

Essential Business Experience and Technical Skills:

Required:

· High School Diploma

· 2+ years of short-term disability (STD) experience

Preferred:

· Bachelor's degree

· Strong communication skills, both written and oral.

· Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.

· Strong problem solving and analytical skills.

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.

MetLife

Go to Apply

Share this job

Similar Jobs

Retail Sales Associate - Entry Level

AutoZone, Inc. • Moscow, PA • 11h ago

Retail & Hospitality

Join AutoZone's Rising Star program, designed to welcome new talent into our organization. This entry-level position is ideal for candidates seeking their first job. We offer a supportive work environment where you can d...

11h ago

Go to Apply

Truck Driver

Roehl Transport • Tunkhannock, PA • 11h ago

Trucking & Construction

In our over the road Flatbed Fleet, you'll haul unique freight mostly east of I-35 (though you may have loads that'll take you through any of the lower 48 states and Canada). As you see the nation, you'll also see many d...

11h ago

Go to Apply

Industrial Route Sales

Hi-Line, Inc. • Scranton, PA • 1d ago

Legal & Paralegal

Industrial Route Sales Scranton, PA Full Time Outside Sales Experienced Share ( https://hiline.applytojob.com/app/share/asK3LbDJXZ ) Are you a driven and ambitious sales professional seeking a career that offers uncapped...

1d ago

Go to Apply

Warehouse/Material Handler - 484875

Frito Lay Incorporated • Moosic, PA • 1d ago

Manufacturing & Warehouse

Warehouse and Material Handlers are critical to our success at FritoLay! Warehouse and Material Handlers are responsible for a variety of typical warehouse duties, including handling and moving material around our wareho...

1d ago

Go to Apply

Manufacturing Operator- 10am-6pm Shift

Noble Biomaterials Inc. • Scranton, PA • 1d ago

Manufacturing & Warehouse

Join a Team That Makes a Difference! At Noble, the work you do matters. We manufacture innovative products that support the military, advance the medical field, and improve everyday life. Whether it's enhancing safety, e...

1d ago

Go to Apply

Medical Technologist

Community Health Systems • Scranton, PA • 2d ago

Hospital & Medical

Medical Technologist Full-time, Days - rotating weekends and holidays This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer. As...

2d ago

Go to Apply

Medical Technologist, PRN

Community Health Systems • Scranton, PA • 2d ago

Hospital & Medical

Medical Technologist, PRN This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer. As a Medical Laboratory Technologist at Region...

2d ago

Go to Apply

Maintenance Technician

Berry Global • Pittston, PA • 2d ago

Retail & Hospitality

Overview Accelerate the possible by joining a winning Amcor team that's transforming the packaging industry and improving lives around the world. At Amcor, we unpack possibility through our innovative and responsible pac...

2d ago

Go to Apply

Maintenance Technician

Berry Global • Pittston, PA • 2d ago

Retail & Hospitality

2d ago

Go to Apply

Forklift Driver (7PM-7AM)

Berry Global • Pittston, PA • 2d ago

Manufacturing & Warehouse

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.