Lead STD Claims Specialist

Description and Requirements
Job Location: Virtual BUT MUST BE COMMUTABLE TO: Oriskany, Aurora, Tampa, Bloomfield, or Cary
Role Value Proposition:
Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship with claimants to understand their perspective on their disability. Using that perspective and other information, identifies the claimant's functional capacity and leverages that capacity within the context of the contract to support and encourages return to work as appropriate.
Key Responsibilities:

• Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other Leave types as required by our group customers or other Federal, State, Local laws
• Creates and executes individual claim action plans, serves as point of contact for the claimant and provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication, and makes claim decisions. Proactively communicates/updates to partners that may be working with the claimant when key events are being considered or have occurred (Closure, RTW, etc.)
• Meet and Exceed Operational Efficiency goals, Demonstrate Service Delivery and Customer Satisfaction goals, including prioritizing actions, appropriately utilizing resources timely, maintain data integrity through accurate benefit decision and payment
• Conducts reviews and analyses and corresponds with relevant parties.
• Supports the maintenance of customer-specific data to ensure quality and accuracy.
• Handle second level escalated customer contacts and phone referrals requiring additional research.
• Manages an assigned caseload of moderately complex claims.
• Develops and maintains strong working relationships with internal and external customers.
• Performs other related duties as assigned or required

Essential Business Experience and Key Behaviors, Required:

• 4+ years of Disability Claims Experience preferably in STD
• Understands value in building rapport and develops positive working relationships
• Motivated by their interactions with others
• Quickly grasps information and efficiently solves verbal challenges with strategic thinking
• Communicates complex verbal and written concepts with ease
• Pays close attention to details, and accounts for details that may be overlooked
• Professionally demonstrate empathy to others
• Provide original insights on familiar subjects
• Balances task work while adapting to change and exploring new innovative ideas
• Ability to prioritize and maintain quality
• High School Diploma

Key Competencies, Qualifications and Skills, Preferred:

• Associate Degree or higher
• Proficient with Microsoft office software
• Prior STD and Family Medical Leave Act claims knowledge
• Ability to work independently
• An understanding of disability contractual provisions

The wage for applicants for this position is $59,000.00. 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.
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at [email protected]. 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.