LTD Unit Leader
Location:
Oriskany , New York
Posted:
May 18, 2017
Reference:
52647-en_US

Job Location: United States :  Oriskany : New York  

 

 

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 be responsible for ensuring decisional accuracy and timeliness of all LTD decisions and makes determination on claims settlement within authorized guidelines. 

    

 

  • Works with customers to negotiate, arbitrate, and resolve issues, concerns, and expectations regarding process, service and performance guarantees.
  • Manages risk and performance of assigned team and claim block consisting of over 1,000 open active LTD claims.
  • Accountable for ensuring team performance with delivery on customer commitments and high quality claim decisions which includes intimate knowledge of actions and decisions made by members of team and appropriate coaching and performance management to address any discrepancies.
  • Responsible for identification and delivery of action plans including Quality Assurance results, control reports, UM Scorecard, Appeals, customer escalations and complaints, etc.
  • Acts as project lead and /or participates in various project assignments.
  • Conducts quality management reviews to ensure financial and decisional accuracy.
  • Tracks data and analyzes and reports information via established claims metrics report on standard and customized levels.
  • Manages individual unit operating costs.
  • Participates in customer presentations and new account implementations.
  • Full people management responsibilities, including hiring, firing, promotions, performance and compensation management, and training and development.

 

  • Bachelor's degree or equivalent business experience.
  • 7+ yrs insurance claims experience.
  • Solid business knowledge of STD/LTD/Group Life Disability products, in addition to Workers’ Compensation, State laws, ERISA and Tax laws, ADA, FMLA, Rehabilitation, Social Security, Special Investigation processes.

 

Operations : Claims

 

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At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.” 

 

 

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 #: 52647 


A little about us:
MetLife offers life insurance, disability income insurance, car insurance, employee benefits and more.

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