• Group Life Claim Reviewer

    MetLife (Oriskany, NY)


    Job Title

     

    Group Life Claim Reviewer

    Job Location

    Virtual within a commutable distance of Oriskany / Central NY. New Hires Should live within a commutable distance of our office in Oriskany NY.

     

    Training

     

    In- Person Training for 4 to 6 weeks, Monday through Friday, 8 AM to 4:30 PM.

    Functional Responsibilities

    * Checks Group Life claim documentation or other company forms for completeness and accuracy.

    * Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.

    * Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.

    * Reviews data from various sources, including policyholders; translates it into appropriate media for input into a Windows based computer system (BIOS).

    * Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.

    * Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.

    * Completes all work within turnaround time to meet department and customer objectives.

    * Maintain production and quality standards.

    * Ensure compliance with state regulations for Group life claims by sending appropriate notifications.

    * Perform support functions as needed.

    * Provide high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees and administration; resolve customer issues swiftly and thoroughly by offering recommendations and solutions.

    * Mentor Reviewers as needed

    * Provide compassionate call outs to claimants to assist with the claims process and offer additional services.

    Essential Business Experience and Technical Skills:

    Required

    * New hires should live a commutable distance from the site the role is posted in.

    * Strong communication skills, both written and oral.

    * Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.

    * Experience with Microsoft Suite (Word, Excel, Teams, etc.)

    * 1+ years Customer Service background with a focus on delivering white glove service to clientele.

    * High School Diploma or GED equivalent.

    * Candidates must be available for all days of in person training for up to 6 weeks starting on February 2nd.

    Preferred

    * 1+ years’ experience in a call center. Focus on outbound calls preferrable.

    * Prior experience reviewing insurance claims.

    * Background in Life Claims (Claim intake and Notice of Loss).

    * College Degree or high education.

     

    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.

    Equal Employment Opportunity/Disability/Veterans

    If you need an accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

     

    MetLife maintains a drug-free workplace.