What are the responsibilities and job description for the Short Term Disability Claims Specialist - Tampa/Bloomfield - 10/26 position at MetLife, Inc?
Description and Requirements
On MetLife’s Global Customer Service and Operations (GCSO) team, customer care is built on trust, empathy, and a commitment to continuous improvement. Whether guiding customers through life’s important moments, solving challenges, or simplifying processes with innovative technology, you’ll help deliver a differentiated experience grounded in operational excellence. Backed by a collaborative team, you’ll play a vital role in strengthening the way we care and advocate for millions worldwide. Here, making a real difference isn’t just a goal - it’s what we do, one conversation at a time.
The Short Term Disability Claim Specialist will be responsible for reviewing and assessment Disabilities claim come in for our customers. You will be reviewing medical documentation, on the phone with claimants/customers, and managing a caseload to ensure proper management of our procedures and policies to determine if a claim is payable. You will be responsible for ensuring excellent communication, show critical thinking skills, and make over determinations on claims that are submitted for various medical conditions.
- 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. Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).
- Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision. Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
- Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
- New hires should live a commutable distance from the site the role is posted in.
- Tampa, FL or Bloomfield, CT
- Tampa, FL or Bloomfield, CT
- High school diploma or GED equivalent.
- A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
- Strong communication skills
- Critical-thinking, strategic-thinking, and prioritization skills
- Ability to give and receive feedback using specific measurements and observed behavior as well as openness to receiving feedback
- Associate Degree
- 2 plus years of claims management experience preferably in Healthcare field
- Proficient in Microsoft Word/Excel
- Expertise knowledge of system and tools, ie…MDG, DPA, Intellis and how to leverage tools to improve claim management effectiveness
The expected salary range for this position is $40,000 - $52,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Salary : $40,000 - $52,000