Process and validate complex claims per Desktop procedures (L3 & L4); research and resolve discrepancies and outstanding items; communicate with employees, employers, and stateside stakeholders via scripted calls and templated emails; meet SLA and quality targets; utilize specialty resources; complete build requests and ensure claim structure and attendance adherence.
Description and Requirements
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
- Ensure timely & accurate processing of claims
- Researching and resolving complex issues
- Analyze, validate and process transactions as per Desktop procedures
- Analyze and research all discrepancies in the claims report and mailbox
- Research, investigate and resolve outstanding items in claims reports & mailbox
- Resolve claim concerns, complete build requests and setup structure for claims
- Scripted calls to customer to gather claim feedback,
- Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email
- Utilize internal and external specialty resources to maximize impact on each claim file
- Ensure assigned targets are met in accordance with SLA and Internal standards
- Ensure quality of transaction is in compliance with predefined parameters as defined by Process Excellence
- Work as a team member to meet office goals to obtain disability's vision while demonstrating core values and meeting key measures.
- Ability to communicate effective with stateside stakeholders via emails & calls to have logical discussion
- Analyze, validate and process transactions as per Desktop procedures (L3 & L4) for complex & non-complex work types
- Ensure adherence to established attendance schedules
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
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