Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR, West Des Moines, IA office Once a month in office for meetings
Partners with the STD Unit Leader to analyze and identify barriers for the success and efficiency of their team. Supports and guides assigned team member to ensure that they have the knowledge and skills, tools, and resources to be successful in achieving those expectations by delivering on commitments, timely return of phone calls, clear communication, accuracy of decisions and financial accuracy
Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA Program, claim file reviews and call monitoring auditing claim file reviews to identify improvement opportunities, skillset gaps, trends for quality, service and/or compliance
Accountable for reviews and approves key decisions made by team member(s) within authority limit including financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates other income/offsets in accordance with Customer's plan/policy
Managing operation efficiency goals and provides positive reinforcement to team members that is directly linked to their behaviors and performance objectives and maintains data integrity. Performs other related duties as assigned or required
Required:
Preferred:
* Prior STD, state leave and/or Family Medical Leave Act claims knowledge preferred.
* Strong communication skills, both written and oral.
* Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
* Strong problem solving and analytical skills.
* Ability to work independently
* Ability to multitask, comfortable working with multiple priorities in a changing environment.
* Ability to prioritize and maintain quality
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.
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