Sr. LTC Care Coordinator
Location:
Tampa , Florida
Posted:
March 17, 2017
Reference:
47801-en_US

Job Location: United States : Tampa : Florida

 

A candidate has been identified for this role. 

 

 

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 evaluate long term care claims and exercise independent judgment, discretion and critical analysis to reach reasonable claims determinations that are in accordance with contract provisions and time service standards. 

    

 

  • Exercises critical thinking to determine direction by independent analysis and use of judgment with minimal oversight and input from manager.
  • Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast paced environment.
  • Compiles file documentation requiring extensive policy and factual detail.
  • Identifies information and resources needed to make benefit eligibility determinations Identifies information and resources needed to make benefit eligibility determinations.
  • Communicates decisions to policyholders and or their representatives in both verbal and written form.
  • Clarifies and reconciles inconsistencies.
  • Conducts in depth, detailed information gathering phone calls that obtain medical condition details and other information. Represents MetLife at depositions and trials.
  • Identifies and refers appropriate matters to legal counsel.
  • Performs other related duties as assigned or required. 

 

  • BA/BS Degree Preferred
  • 2-3 years of relevant business experience
  • 3-5 years LTC experience preferred.

 

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 #: 47801 


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

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