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Life Claims Examiner

Job Location: United States : Warwick : Rhode Island

 

Role Value Proposition: 

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities.  The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will reviews, approves, and/or denies individual death and/or disability claim requests and cases while corresponding with internal and external parties to respond to inquiries, complaints, and denied claims.

    

Key Responsibilities:  

  • For new death claims; Reviews claim information for completeness and accuracy and verifies deceased is insured, evidence is valid, claim was submitted by proper beneficiary or payee, and verifies payout amount; obtains proper evidence of death or necessary information for incomplete death claims; while authorizing payments and completing claim briefs with necessary codes.
    • Pays claims via payment system; corresponds with third parties to respond to post-payment death claims inquiries and requests
    • Analyzes policy data and makes decisions on applicant waiver of premium cases and updates policy records.
  • For new disability claims; Reviews claim (medical statements and employment records, and verifies policy provisions) information for completeness and accuracy; obtains necessary information for incomplete claims via correspondence; and calculates amount of claim award, and approves appropriate claim payments that are within company guidelines and state statutes; authorizes disability payments.
  • Reviews continuing disability claims and determines if disability waiver should continue; responds to related customer inquiries or complaints.
  • Refers complex cases and cases to senior approvers.
  • Handles claim requests for death waivers.
  • Handles premium waiver claims and completes complex correspondence. 
  • Performs other duties as assigned or required.

 

Essential Business Experience and Technical Skills:

Required:

  • High School diploma
  • 3+ yrs. relevant work in Life Insurance.

 

Preferred:

  • Bachelor’s degree
  • 5+ yrs. relevant work in Life Insurance.
  • Effective communication.
  • Results driven
  • Strong customer satisfaction and focus.

 

 

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

Requisition #: 96450 

Company
MetLife
Posted
03/26/2018
Type
Full time
Location
Warwick, Rhode Island 02818, US