Group Life Claim Reviewer

About the role

The Claim Reviewer plays a crucial role in the Group Life claims process, ensuring accurate claim payments and providing compassionate service to beneficiaries and families of deceased employees.

Responsibilities

• Checks Group Life claim documentation or other company forms for completeness and accuracy.
• Evaluates Group Life claim submissions for accuracy to ensure correct claim payment.
• Evaluates 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).
• Responds to written and/or telephone inquiries from policyholders, beneficiaries, attorneys, and families of deceased employees.
• Provides guidance to beneficiaries on claim processes and resolves customer issues swiftly and thoroughly.
• Completes all work within turnaround times to meet department and customer objectives.
• Maintains production and quality standards.
• Ensures compliance with state regulations for Group life claims by sending appropriate notifications.
• Performs support functions as needed.
• Provides high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees, and administration; resolves customer issues swiftly and thoroughly by offering recommendations and solutions.
• Mentors Reviewers as needed.
• Provides compassionate call outs to claimants to assist with the claims process and offer additional services.

Requirements

• New hires should live a commutable distance from Oriskany NY.
• 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.
• A High School Diploma or GED equivalent.
• This role has mandatory paid training starting on September 8. Candidates must be available and present for all training days.

Preferred Qualifications

• 1+ years’ experience in a call center.
• Prior experience reviewing insurance claims.
• Background in Life Claims (Claim intake and Notice of Loss).
• A College Degree or high education.

Pay

The expected salary range for this position is $41,600 - $54,000. This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms.

Benefits

We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more!

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!