Senior LTD Claims Specialist - Impactful AI-Aware Decisions

MetLif; United States; A distancia; USD 58.000 - 69.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health benefits

401(k) matching

Paid time off

Tuition assistance

Descripción de la vacante

MetLife’s Global Customer Service and Operations (GCSO) team seeks a Senior LTD Claims Specialist to evaluate long term disability claims, deliver timely and accurate decisions, and support customers across the United States.

Responsibilities include reviewing medical and policy information, collaborating with clinicians and attorneys, and communicating determinations with clients. A Bachelor's degree and AI experience are preferred for this role.

Formación

• 3+ years of LTD Insurance Claims experience.
• Creative problem-solving abilities and independent judgment with critical thinking.
• Experience utilizing AI in a professional setting.

Responsabilidades

• Lead timely, and accurate LTD claim evaluations and decisions in accordance with plan provisions.
• Create thorough claim documentation and correspondence by analyzing medical, occupational, financial, and policy information to support well-documented determinations.
• Oversee claim evaluations by identifying and reconciling inconsistencies and resolving escalated customer concerns.
• Manage communication with claimants, customers, providers, attorneys, brokers, and family members with clear, timely updates.
• Coordinate with physicians, attorneys, vocational consultants, and CPAs to obtain information for thorough and defensible decisions.

Conocimientos

LTD Claims Experience

Analytical thinking

Customer service

Educación

Bachelor's degree

Descripción del empleo

MetLife’s Global Customer Service and Operations (GCSO) team seeks a Senior LTD Claims Specialist to evaluate long term disability claims, deliver timely and accurate decisions, and support customers across the United States.

Responsibilities include reviewing medical and policy information, collaborating with clinicians and attorneys, and communicating determinations with clients. A Bachelor's degree and AI experience are preferred for this role.