Supervisor - Field Claims (SIU)
Location:
Oriskany , New York
Posted:
February 14, 2017
Reference:
35404-en_US

Job Location: US: New York: Oriskany

 

 

Special Investigation Unit (SIU) supervisors are responsible for overseeing and occasionally conducting professional investigations of referrals made to the Special Investigation Unit.  Ensure that investigators adhere to all established SIU and company guidelines and procedures.  Facilitating and/or leading fraud awareness training, professional development of investigators, quality assurance and other company initiatives related to the SIU. 

 

  • Supervises, evaluates, and develops the SIU Dental Team, to include a PTV . 
  • Provides direction and advice through all aspects of the investigative process.
  • Reduces risk and exposure to the company by overseeing timely and proper investigations.
  • Generates and reviews productivity reports to ensure team productivity goals are met.
  • Responsible for gathering relevant information and submitting necessary reports to SIU and Product management.
  • Will carry a limited caseload of Dental investigations.

 

 

  • 5-10 years of prior experience in a Claims Operation and/or Special Investigation Unit related to Dental.
  • Excellent written and verbal communication skills and detail oriented.
  • Strong familiarity with laws and regulations related to the investigation of Dental claims.
  • A track record of strong relationships with Dental Claims and Product teams.
  • Physical presence within the office is required.
  • Ability to handle adverse circumstances in a professional manner.
  • Related professional designation(s) such as HCAFA or AHFI, etc., is preferred.
  • Undergraduate degree preferred.
  • Travel: Limited - as needed.

 

 

US Business:  MetLife P&C

 

 

1

 

 

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.


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

Know someone who would be interested in this job? Share it with your network.