LTD Technical Claims Specialist @ MetLife | Jobright.ai
JOBSarrow
RecommendedLiked
0
Applied
0
External
0
LTD Technical Claims Specialist jobs in United States
Be an early applicantLess than 25 applicants
company-logo

MetLife · 4 hours ago

LTD Technical Claims Specialist

ftfMaximize your interview chances
Asset ManagementFinancial Services
check
H1B Sponsor Likelynote

Insider Connection @MetLife

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

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

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)

Funding

Current Stage
Public Company
Total Funding
$500M
2024-06-20Post Ipo Debt· $500M
2000-04-28IPO· undefined

Leadership Team

leader-logo
Michel A. Khalaf
President and CEO, and Executive Leadership Team Member
linkedin
leader-logo
Koley Corte
Senior Vice President and Chief Marketing Officer, Corporate and Institutional
linkedin
Company data provided by crunchbase
logo

Orion

Your AI Copilot