Technical Claims Advisor
Location:
Warwick , Rhode Island
Posted:
January 30, 2017
Reference:
35401-en_US

Job Location: [[Warwick, RI]]: Alternate Locations: Charlotte, NC, Tampa, FL, and West Des Moines, IA

 

 

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We’re looking for unique talent with fresh perspectives that can propel innovation. This role will provide expert guidance and claims compliance oversight on complex individual life claims and annuities including high dollar life insurance issues. Ensure compliance with all applicable regulatory and legal requirements. Guards against financial risks associated with claim related matters.

 

 

  • Provides advice and direction on complex death, disability waiver and annuity claim matters for individual life and annuity operations.
  • Responsible for compliance oversight of claims processing units.
  • Reviews matters where eligibility, payment amount or contractual provisions are unclear or questionable.
  • Interacts with internal and external customers, claimants, beneficiaries, attorneys, claims management, auditing, and state insurance departments.
  • Reviews all legislation to determine impact on claim procedures, and recommends changes to ensure compliance. Provides training to claims personnel to guard against Unfair Claim Settlement Practices and Write Now/ Pay Later.
  • Provides oversight and direction during internal and external claim audits and market conduct exams.
  • Performs ad-hoc compliance related projects.
  • Performs other duties as required or assigned.

 

 


 

  • Minimum 5 years’ experience handling death claims on life insurance policies
  • Proficient in Microsoft Office Suite
  • Excellent Verbal and Written Communication
  • Ability to Multi-Task
  • Series 6
  • High School Diploma Required
  • Bachelor’s Degree Preferred

0-5%

 

Global Technology and Operations

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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.

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

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