Back to Jobs search

Long Term Disability Claims Specialist I

MetLife • Bloomfield, CT • 5h ago

Job Location: Virtual, but must be commutable to the following offices:

Oriskany, NY

Bloomfield, CT

Cary, NC

San Juan, PR

Employees are required to come into the office for 2 weeks after initial training. After training, employees are to report to the office 1x a month.

Key Responsibilities:

Virtual roles predominately work from a home office with periodic visits to the assigned office as needed for team events, meetings, training, business continuity, etc.

Effectively manages some level of oversight an assigned caseload which consists of pending, ongoing/active reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators

Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations.

Develop actions plans and identify return to work potential

Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills

Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations

Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available

Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.

Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed

Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.

Essential Business Experience and Technical Skills:

Required:

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

High School Diploma

Minimum 2 years of experience in external customer service or related experience

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

Creative problem-solving abilities and the ability to think outside the box

Excellent interpersonal and communication skills in both verbal and written form

Excellent customer service skills proven through internal and external customer interactions

Organizational and time management skills

Preferred:

Bachelor's degree

Business Category

Operations - Claims

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

Go to Apply

Share this job

Similar Jobs

Accounting Analyst

Health Advocates Network • Farmington, CT • 30min ago

Finance, Accounting & Banking

Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances...

30min ago

Go to Apply

Accounting Analyst

Health Advocates Network • Farmington, CT • 30min ago

Finance, Accounting & Banking

30min ago

Go to Apply

Accounts Payable Specialist

Aston Carter • New Britain, CT • 10h ago

Finance, Accounting & Banking

Billing Specialist Location: New Britain, CT (Fully Onsite) Pay: Up to $24/hour Type: Contract to Hire (Full Benefits) About the Role: We are seeking a detail-oriented Billing Specialist to join our team at a growing mov...

10h ago

Go to Apply

Accounts Payable Associate / Accounting Disbursements

Hartford HealthCare • Hartford, CT • 10h ago

Finance, Accounting & Banking

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of C...

10h ago

Go to Apply

Banking Associate - Waterbury, CT (Main Street)

TD Bank • Waterbury, CT • 13h ago

Finance, Accounting & Banking

Work Location: Waterbury, Connecticut, United States of America Hours: 40 Pay Details: $22.00 - $27.75 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunitie...

13h ago

Go to Apply

Controller, Division

U.S. Tsubaki Holdings, Inc • Chicopee, MA • 19h ago

Finance, Accounting & Banking Sponsored

Description: The TSUBAKI name is synonymous with excellence in quality, dependability, and customer service. U.S. Tsubaki Automotive, LLC is an international tier-one supplier of high-speed chain drive systems to the aut...

19h ago

Go to Apply

Staff Accountant

Robert Half • Westfield, MA • 1d ago

Finance, Accounting & Banking

Description We are looking for a detail-oriented Staff Accountant to join our team on a long-term contract basis in Westfield, Massachusetts. This role is ideal for someone who excels in financial operations and has a st...

1d ago

Go to Apply

Staff Accountant

Robert Half • Springfield, MA • 1d ago

Finance, Accounting & Banking

Description We are looking for a skilled Staff Accountant to join our team on a long-term contract basis in Springfield, Massachusetts. This role is ideal for someone who is detail-oriented, excels in managing financial...

1d ago

Go to Apply

Entry Level Accounts Payable Clerk

Robert Half • Longmeadow, MA • 1d ago

Finance, Accounting & Banking

Description Entry Level Accounts Payable Clerk Opportunity! Local to Longmeadow, MA Compensation between $50,000-$58,000 (based on experience) Full benefits! This is a permanent/direct hire, full time position located FU...

1d ago

Go to Apply

Billing Specialist

Aston Carter • New Britain, CT • 1d ago

Finance, Accounting & Banking

1d 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.