
Senior Long Term Disability Claims Specialist
Are you a highly motivated and experienced professional looking for a rewarding career at a reputable company? Look no further! MetLife is seeking a Senior Long Term Disability Claims Specialist to join our dynamic team. As a leader in the insurance industry, we are committed to providing our employees with the resources and support they need to succeed and grow. If you have a passion for helping others and possess the necessary qualifications, we want to hear from you. Join us in making a positive impact on the lives of our clients and their families.
- Process and manage long term disability claims from start to finish, ensuring accuracy and timely resolution.
- Conduct thorough investigations and gather necessary information to make informed and fair claims decisions.
- Review and analyze medical records, policy provisions, and other relevant documents to determine eligibility for benefits.
- Communicate with claimants, medical providers, and other stakeholders to gather and exchange information regarding claims.
- Provide excellent customer service to claimants by responding promptly and empathetically to their inquiries and concerns.
- Maintain up-to-date knowledge of company policies, procedures, and industry regulations related to long term disability claims.
- Collaborate with internal and external partners, such as legal counsel and medical professionals, to facilitate claims processing and resolve complex issues.
- Identify and escalate potential fraud, abuse, or other questionable activities related to claims.
- Monitor and manage claim reserves, ensuring accuracy and appropriate financial management.
- Mentor and train junior team members, providing guidance and support in claims handling and adherence to company standards.
- Participate in departmental and company-wide initiatives and projects to improve processes and enhance customer experience.
- Maintain confidentiality and adhere to ethical and compliance standards in all interactions and activities.
- Keep detailed and organized records of all claims and related activities, ensuring accuracy and completeness.
- Continuously seek opportunities for personal and professional development, staying updated on industry trends and best practices.
Bachelor's Degree In A Related Field Such As Business Administration, Insurance, Or Finance.
Minimum Of 5 Years Of Experience In Claims Management, Preferably In Long-Term Disability Claims.
Strong Knowledge Of Insurance Industry Regulations And Compliance Standards.
Excellent Communication Skills, Both Written And Verbal, With The Ability To Effectively Interact With Clients And Colleagues.
Proven Track Record Of Successfully Managing Complex Disability Claims And Making Sound Decisions Based On Medical And Legal Documentation.
Time Management
Negotiation skills
Attention to detail
customer service
Analytical Thinking
Medical Terminology
Case management
Legal Knowledge
Policy Interpretation
Claims Assessment
Disability Determination
Communication
Conflict Resolution
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
Empathy
Decision-making
According to JobzMall, the average salary range for a Senior Long Term Disability Claims Specialist in United States is between $60,000 to $90,000 per year. However, this can vary based on factors such as location, experience, and specific job responsibilities. Some employers may offer additional benefits and incentives as well.
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MetLife, Inc. provides insurance and financial services to individual and institutional customers. It offers life insurance, annuities, automobile and homeowner's insurance and retail banking services to individuals as well as group insurance, reinsurance and retirement and savings products and services. The company operates its business through six segments: Retail, Group, Voluntary and Worksite Benefits, Corporate Benefit Funding, Latin America, Asia, and Europe, the Middle East and Africa.

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