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Expired Job

Metlife, Inc. Oriskany , NY 13424

Posted 4 months ago

Job Location: Oriskany, NY

Role Value Proposition:

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Were looking for unique talent with fresh perspectives that can propel innovation. In this role you will reviews, researches, and evaluate pended Statement of Health submissions to determine if statement is able to be processed in accordance with policy provisions. This position will run yearly from September to March

Key Responsibilities:

  • Identify and obtain missing information required to evaluate SOH form and input missing information into system.

  • Interpret customer SOH provisions and process accordingly.

  • Determine the insurability of the financial risk, based on the initial review of SOH and all medical information provided.

  • Respond to written and/or telephone inquiries from policyholders, employees, and Account Reps.

  • Provide guidance on SOH /enrollment processes and resolve customer issues swiftly & thoroughly.

  • Maintain an understanding of the difference between MLM and SM customers and process accordingly.

  • Evaluate SOH forms to identify situations requiring referral to Medical Underwriter. Work with our internal customer administrative staff to clarify SOH provisions and resolve discrepancies.

  • Maintain good rapport with internal & external customers by taking ownership and projecting an attitude of service.

  • Work on special projects as needed.

  • Perform other duties as required..

Essential Business Experience and

Technical Skills:

Required

  • Analytical ability and good judgment in evaluating Statement of Health submissions.

  • 2.5 yrs. relevant business experience preferred

  • High School Diploma

  • This position will run from September to March yearly.

Number of Openings
12

At MetLife, were leading the global transformation of an industry weve long defined. United in purpose, diverse in perspective, were 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 #: 101199


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Claim Reviewer

Metlife, Inc.

Posted 2 weeks ago

VIEW JOBS 11/1/2018 12:00:00 AM 2019-01-30T00:00 Job Location: Oriskany, NY                                            Role Value Proposition:  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. In this role, your primary function will be answering incoming calls from policyholders, beneficiaries, attorneys and families of the deceased employee, providing them with superior customer service, and answering any questions they may have.  As a secondary role, you will review Group Life claims submission for completeness and accuracy. Records data in the Group Life Claims system for adjudication and determines if claim documentation will need to be reviewed by a Claim Examiner.    Key Responsibilities: * Handles telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees. * Answers complex questions related to Group Life Claim insurance benefits. * Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly. * Identifies areas for improvement and participates in the development of better operational processes. * Reviews Group Life claim documentation or other company forms when assisting callers. * 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). * 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   Essential Business Experience and Technical Skills: Required: * Strong data entry skills required. * Excellent oral and written communication skills. * Ability to adjust to multiple demands and shifting priorities * High School Diploma/ GED     Preferred:   * College Degree       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 #: 105468 Metlife, Inc. Oriskany NY

Reviewer- Seasonal

Expired Job

Metlife, Inc.