Urgent! STD Claims Support Specialist Job Opening In Bloomfield – Now Hiring MetLife
Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR, West Des Moines, IA office
Once a month in office for meetings
Key Responsibilities:
• Partners with the STD Unit Leader to analyze and Identify barriers for the success and efficiency of their team.
Supports and guides assigned team member to ensure that they have the knowledge and skills, tools, and resources to be successful in achieving those expectations by delivering on commitments, timely return of phone calls, clear communication, accuracy of decisions and financial accuracy
• Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA Program, claim file reviews and call monitoring auditing claim file reviews to identify improvement opportunities, skillset gaps, trends for quality, service and/or compliance
• Accountable for Reviews and approves key decisions made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates other income/offsets in accordance with Customer’s plan/policy
• Managing operation efficiency goals and provides positive reinforcement to team members that is directly linked to their behaviors and performance objectives and maintains data integrity.
• Performs other related duties as assigned or required
Essential Business Experience and Technical Skills:
Required:
· A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
· Ability to coach and mentor members of the team
· 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
· Ability to give and receive feedback to/from partners
· Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
· Prioritization skills.
Ability to balance quantity and quality.
· Ability to Partner with Internal/External Customers
· High School Diploma
Preferred:
· Associate Degree
· 2 plus years of claims management experience preferably in Healthcare field
· 5 plus years of Management
· Proficient in Microsoft Word/Excel
Key Competencies, Qualifications and Skills, Preferred:
* Prior STD, state leave and/or Family Medical Leave Act claims knowledge preferred.
* Strong communication skills, both written and oral.
* Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
* Strong problem solving and analytical skills.
* Ability to work independently
* Ability to multitask, comfortable working with multiple priorities in a changing environment.
* Ability to prioritize and maintain quality
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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Unlock Your STD Claims Potential: Insight & Career Growth Guide
Real-time STD Claims Jobs Trends in Bloomfield, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for STD Claims in Bloomfield, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 6970 jobs in United States and 2 jobs in Bloomfield. This comprehensive analysis highlights market share and opportunities for professionals in STD Claims roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! MetLife is currently hiring and seeking a STD Claims Support Specialist to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: STD Claims Support Specialist Jobs Bloomfield.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at MetLife adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a STD Claims Support Specialist Jobs United States varies, but the pay scale is rated "Standard" in Bloomfield. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for STD Claims Support Specialist typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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