[Remote] Short Term Disability Claim Specialist

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 Short Term Disability Claim Specialist. In this role, you will manage various leave types and claims, ensuring compliance with contractual provisions while providing high-quality service to claimants.

Responsibilities

• Claim owner and decision-maker
• Responsible for administering claims within contractual provisions and internal /external guidelines
• Establishes a relationship with claimants in order to understand their perspective on their disability
• 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
• 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

• 6 months to 1 year experience handling disability claims, including Short-Term Disability, FMLA, PFML, and other types of leave
• Basic knowledge of medical conditions, treatments, and prognosis
• Candidates must be available to work shifts starting between 7 AM and 9 AM ET
• 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
• Ability to multitask across a big of diverse leave claims
• A comprehensive understanding of the disability contractual provisions, especially the definition of disability
• 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

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, and accident insurance
• Employee Assistance Program (EAP)
• Digital mental health programs
• Parental leave
• Volunteer time off
• Tuition assistance

Company Overview

Company H1B Sponsorship