Job Title
Senior Short-Term Disability Claim Specialist
Job Location Virtual within a commutable distance of Omaha, NE. New Hires must live within a commutable distance of Omaha NE.
Training IN-PERSON TRAINING for up to 7 weeks.
Key Expectations
Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc
Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support 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 him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her.
Partners 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.
Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision.
Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).
Key skills Required
New hires should live a commutable distance from the site the role is posted in.
1+ years of experience in Absence Management handling short-term or long-term disability claims.
A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
Basic knowledge of medical conditions, treatments, prognosis.
Critical-thinking skills.
Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
High School Diploma or GED Equivalent.
This role has mandatory paid training starting on April 13th. Candidates must be available and present for all training days.
Preferred
Absence Management including FMLA or PFML.
Ability to give and receive feedback to/from partners
Prioritization skills. Ability to balance quantity and quality.
College or University Degree.
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.
Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
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Job Location Virtual within a commutable distance of Omaha, NE. New Hires must live within a commutable distance of Omaha NE.
Training IN-PERSON TRAINING for up to 7 weeks.
Key Expectations
Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc
Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support 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 him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her.
Partners 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.
Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision.
Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).
Key skills Required
New hires should live a commutable distance from the site the role is posted in.
1+ years of experience in Absence Management handling short-term or long-term disability claims.
A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
Basic knowledge of medical conditions, treatments, prognosis.
Critical-thinking skills.
Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
High School Diploma or GED Equivalent.
This role has mandatory paid training starting on April 13th. Candidates must be available and present for all training days.
Preferred
Absence Management including FMLA or PFML.
Ability to give and receive feedback to/from partners
Prioritization skills. Ability to balance quantity and quality.
College or University Degree.
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.
Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
#J-18808-Ljbffr