STD Claims Support Specialist

Job Opportunity

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, West Des Moines, IA office. Once a month in office for meetings.

Key Responsibilities :

• Partners with the STD Unit Leader to analyze and identify barriers for the success and efficiency of their team. Supports and guides assigned team members to ensure that they have the knowledge and skills, tools, and resources to be successful in achieving those expectations by delivering on commitments, timely return of phone calls, clear communication, accuracy of decisions and financial accuracy.
• Drives claim management accuracy and customer centricity through support of the Pre-QA Program, claim file reviews and call monitoring. Auditing claim file reviews to identify improvement opportunities, skillset gaps, trends for quality, service and / or compliance.
• Accountable for reviews and approves key decisions made by team members within authority limit including financial accuracy of coding Claims System including accurate claim benefit amount / salary and appropriately investigates other income / offsets in accordance with customers plan / policy.
• Managing operation efficiency goals and provides positive reinforcement to team members that is directly linked to their behaviors and performance objectives and maintains data integrity. Performs other related duties as assigned or required.

Essential Business Experience and Technical Skills :

Key Competencies, Qualifications and 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.