MetLife IDI Claims Specialist in Tampa, Florida
Job Location: Tampa, FL
Role Value Proposition:
At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Disability Analyst evaluates individual disability income insurance claims and exercises independent judgment, discretion and critical analysis to reach reasonable claims determinations that are in accordance with contract provisions and time service standards.
Manages assigned caseload with limited supervision and compiles file documentation and correspondence requiring extensive policy and factual detail.
Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment.
Conducts lengthy detailed information-gathering phone calls that obtain medical condition details, financial details, occupational details and other information.
Refers to external and internal resources, such as physicians, attorneys and CPAs to gather data such as medical/occupational information in order to ensure well-reasoned decisions. Clarifies and reconciles inconsistencies and represents MetLife at depositions and trials.
Proficiently calculates benefits due after elimination period, COLA, Social Security Offsets, and residual and non-routine payments and drafts responses to Department of Insurance and Presidential complaints. Identifies and refers appropriate matters to legal counsel. Essential Business Experience and Technical Skills: Required:
High School Diploma
2 years of related professional business experience
Prior experience with independent judgement, decision making, critical thinking and analysis
Excellent Communication, both verbal and business writing skills
Excellent customer service skills proven through internal and external customer interactions with high level, professional customers Preferred:
Demonstrated conceptual thinking, risk management, ability to handle complex claim situations effectively.
Superior communication, organization, risk management and time management skills required. Travel 0%
“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, 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 $600 billion of total assets under management as of December 31, 2019. We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven 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.
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.
Requisition #: 115296
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