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Claim Examiner - Life - Central New York

Company

MetLife
Address , Oriskany
Employment type
Salary
Expires 2023-12-02
Posted at 9 months ago
Job Description

Job Location: Virtual, but must be commutable to the Oriskany office


Role Summary:

Review, research, and investigate pended Group Life claim submission with multiple coverages and complexity to determine if claim is payable in accordance with various policy provisions. If payable, determine eligible payee(s) and payment amount(s). If not payable, develop detailed letter of explanation based on policy provisions and claim documents. Provides customer service with empathy and patience on incoming and outgoing phone inquiries and provides guidance on life claim processes.


Key Responsibilities:

  • Work with our customer administrative staff to clarify plan provisions and resolve claim discrepancies. Respond to written inquiries from policyholders, beneficiaries, attorneys and families of deceased employees. Provide guidance on claim processes and resolve customer issues swiftly and thoroughly as well as actively pursue and follow up on open claims within specified timeframe.
  • Use Microsoft Word and Excel to obtain information required to evaluate the life claim.
  • Identify and obtain missing information required to evaluate Group life claims and input information into a Windows based computer system (BIOS). Interpret policy provisions and manually adjudicate Group Life claims to make claim determinations.


Essential Business Experience and Technical Skills:

Required:

  • Ability to work periodic overtime required; can include weekends.
  • Works collaboratively with others, shares best practices, and assists teammates with work. Shares information and engages in candid and open dialogue. Expresses self well in conversations and written documents. Projects an attitude of service, empathy, and patience to all customers. Ability to deal with people in stressful situations.
  • Strong data entry skills required and PC knowledge required. (Microsoft Word and Excel)


Preferred:

  • Bachelor's degree or relevant experience.


Travel

Not applicable

Business Category

Operations - Claims

Number of Openings

12


At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.


MetLife:


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 help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.


We are one of the largest institutional investors in the U.S. with $642.4 billion of total assets under management as of March 31, 2021. We are ranked #46 on the Fortune 500 list for 2021. In 2020, we were named to the Dow Jones Sustainability Index (DJSI) for the fifth year in a row. DJSI is a global index to track the leading sustainability-driven companies. We are proud to have been named to Fortune magazine’s 2021 list of the “World’s Most Admired Companies.”



MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.


The wage range for applicants for this position is $41,600.00 - $49,500.00. This role is also eligible for annual short-term incentive compensation. MetLife offers a comprehensive benefits program, including healthcare benefits, life insurance, retirement benefits, parental leave, legal plan services and paid time off. All incentives and benefits are subject to the applicable plan terms.


We want to make it simple for all interested and qualified candidates to apply for employment opportunities with MetLife. For further information about how to request a reasonable accommodation, please click on the Disability Accommodations link below.


MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.


MetLife maintains a drug-free workplace.