Be an early applicantLess than 25 applicants

Company

MetLife · 8 hours ago

LTD Technical Claims Specialist

United States

Full-time

Remote

Mid, Senior Level

$56K/yr - $94K/yr

5+ years exp

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Asset ManagementFinancial Services

H1B Sponsor Likely

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Responsibilities

Effectively partners with the Unit Leaders to meet individual, team, and objective key results (OKR’s)

Acts as subject matter expert of our processes and procedures to provide technical assistance and coaching to disability claims professionals

Responsible for working with the Unit Leaders on the development of team members inclusive of providing timely, detailed feedback from claim reviews, as well as responsibility to coach to areas of identified opportunity. Act as LTD subject matter expert.

Conducts Exceed Authority (EA) reviews, quality, and other block reviews of the team inventory to ensure financial and decisional accuracy training opportunities and claims management guidance to drive continuous improvement. 50-100%- varies based on business and customer needs.

Responsibility for the development, communication, and coaching of any new or updated procedures to our disability claims professionals.

Responsible for consistent, detailed analysis of data and reporting to monitor team metrics and quickly identify areas of opportunity and solutions for improved team OKR performance.

Provides in-service training as needed on any key performance or claim management topics.

Works with business consultants, business procedures, and training, along with other support areas to resolve system discrepancies to ensure accurate claims payment in partnership with the Unit Leader.

Effectively works cross-site with peers and leadership to ensure consistency in the claim administration applying risk management options based upon claim facts. Share best practices to drive effective claims management and continuous improvement of our policies and practices.

May handle a small caseload of the most complex claims if business needs dictate or complete projects as business needs arise. May partner with the Unit Leader to attend required business meetings.

Effectively collaborate and partner with the Unit Leader to understand the QA proficiency scores and create an action plan for the team. Coach to the opportunities and celebrate the fully proficient behaviors.

Partners with the Unit Leader to assist with development of the team and oversight on the OKR’s.

Coordinate and partner with the Unit Leader to attend Multi-Disciplinary Claim Discussion (MCD’s) meetings.

Responsible for all aspects of new hire development for those in the LEAP program.

Creation and/or presentation of LEAP training materials

Updating training materials as needed

Tracking of file reviews and new hire progress

Presenting data to LEAP/Core Unit Leaders

Conducting regular 1:1 with new hires to discuss progress and their developing proficiency level.

Work with the core team to train to customer variances. Presenting data to LEAP/Core Unit Leaders

Tracking of file reviews and new hire progress

Conducting regular 1:1 with new hires to discuss progress and their developing proficiency level.

Qualification

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IDI knowledgeSTD knowledgeLTD knowledgeWorkers Compensation knowledgeERISA knowledgeSocial Security knowledgeState laws knowledgeRisk managementIndependent analysisProcess efficienciesTechnology resource management5+ years claims experienceCustomer service skillsTime management skills

Required

Extensive knowledge of IDI, STD, LTD, AMS, group disability, Workers Compensation, ERISA, Social Security and state laws

Strong analytical and decision-making skills with a focus on producing results

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

Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively

Organizational and time management skills

Ability to work independently to analyze business trends to create process efficiencies.

Ability to effectively manage multiple systems and technology resources

Preferred

Bachelor’s degree

5+ years of LTD/IDI Insurance Claims experience

Benefits

Comprehensive health plan that includes medical/prescription drug and vision

Dental insurance

No-cost short- and long-term disability

Company-paid life insurance

Legal services

Retirement pension funded entirely by MetLife

401(k) with employer matching

Group discounts on voluntary insurance products including auto and home

Pet insurance

Critical illness insurance

Hospital indemnity insurance

Accident insurance

Employee Assistance Program (EAP)

Digital mental health programs

Parental leave

Volunteer time off

Tuition assistance

Company

MetLife

Glassdoor

3.9

MetLife is a provider of insurance, employee benefits, and financial services .

Founded in 1868

New York, New York, USA

10,001+ employees

http://www.metlife.com

H1B Sponsorship

MetLife has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (61)

2022 (165)

2021 (96)

2020 (78)