Short Term Disability Claim Specialist

The Opportunity

Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal / external guidelines. Establishes a relationship with claimants in order to understand their perspective on their disability. Uses that perspective and other information to identify claimant’s functional capacity and leverage that capacity within the context of the contract to support and encourage return to work as appropriate.

Key Responsibilities

• Applies all appropriate provisions of the disability contract to ensure MetLife’s liability is understood and appropriately applied throughout the life of the claim.
• Within the context of liability, encourages and supports return to work through a variety of programs and methodologies.
• Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep the claimant fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her.
• Pairs with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, his or her functional capacity, and the prognosis for an increase in that capacity.
• Proactively updates partners that may be working with the claimant when key events are being considered or have occurred (closure, RTW, etc.).
• Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision-making.
• Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
• Provides a high level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.

Required Qualifications

• New hires should live a commutable distance from the site the role is posted in.
• Oriskany NY, Bloomfield CT, Tampa FL, Cary NCHigh school diploma or GED equivalent.
• A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
• Strong communication skills, including the ability to coach Case Specialists to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
• Critical-thinking, strategic-thinking, and prioritization skills.
• Ability to give and receive feedback using specific measurements and observed behavior as well as openness to receiving feedback.

Preferred Qualifications

• Associate Degree.
• 1+ years of claims management experience, preferably in Healthcare field.
• Proficiency in Microsoft Word/Excel.

Pay

The expected salary range for this position is $40,000 - $52,000. 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, 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!

Equal Opportunity Employer

MetLife, Inc. is an equal opportunity employer committed to attracting and retaining a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other characteristic protected by law. We celebrate diversity and are committed to creating an inclusive environment for all employees.