Note: The job is a remote job and is open to candidates in USA. MetLife is one of the world’s leading financial services companies, and they are seeking a Senior Short-Term Disability Claim Specialist. This role is responsible for administering claims, establishing relationships with claimants, and supporting their return to work while managing the claims process effectively.

Responsibilities

• 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.)

Skills

• 2 years of experience in Absence Management processing short-term disability, long-term disability claims, AMS, FLMA, ADA or PFML 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
• 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
• Ability to give and receive feedback to/from partners
• Prioritization skills. Ability to balance quantity and quality
• Basic knowledge of medical conditions, treatments, prognosis
• College or University Degree

Benefits

• Comprehensive health plan that includes medical/prescription drug and vision
• Dental insurance
• No-cost short- and long-term disability
• Company-paid life insurance
• Legal services
• Retirement pension funded entirely by MetLife
• 401(k) with employer matching
• Group discounts on voluntary insurance products including auto and home
• Pet
• Critical illness
• Hospital indemnity
• Accident insurance
• Employee Assistance Program (EAP)
• Digital mental health programs
• Parental leave
• Volunteer time off
• Tuition assistance

Company Overview

Company H1B Sponsorship