Group Life Claim Reviewer

MetLife • Oriskany, NY • 7h ago

Job Title

Job Location

Virtual within a commutable distance of Oriskany / Central NY. New Hires Should live within a commutable distance of our office in Oriskany NY.

Training

In- Person Training for 4 to 6 weeks, Monday through Friday, 8 AM to 4:30 PM.

Functional Responsibilities

Checks Group Life claim documentation or other company forms for completeness and accuracy.

Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.

Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.

Reviews data from various sources, including policyholders; translates it into appropriate media for input into a Windows based computer system (BIOS).

Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.

Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.

Completes all work within turnaround time to meet department and customer objectives.

Maintain production and quality standards.

Ensure compliance with state regulations for Group life claims by sending appropriate notifications.

Perform support functions as needed.

Provide high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees and administration; resolve customer issues swiftly and thoroughly by offering recommendations and solutions.

Mentor Reviewers as needed

Provide compassionate call outs to claimants to assist with the claims process and offer additional services.

Essential Business Experience and Technical Skills:

Required

New hires should live a commutable distance from the site the role is posted in.

Strong communication skills, both written and oral.

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

Experience with Microsoft Suite (Word, Excel, Teams, etc.)

1+ years Customer Service background with a focus on delivering white glove service to clientele.

High School Diploma or GED equivalent.

Candidates must be available for all days of in person training for up to 6 weeks starting on February 2nd.

Preferred

1+ years' experience in a call center. Focus on outbound calls preferrable.

Prior experience reviewing insurance claims.

Background in Life Claims (Claim intake and Notice of Loss).

College Degree or high education.

At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers.

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

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