Appeals Specialist - Short Term Disability

Company: MetLife, Inc.
Location: Bloomfield
Posted on: June 12, 2021

Job Description:

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 you will Conducts timely reviews and analyses of adverse benefit determinations on short-term disability claim files received on appeal and renders final determinations in accordance with ERISA laws and regulations.

Key Responsibilities:

• Conducts reviews and analyses of denied and terminated disability claims for accuracy of determinations by taking into consideration contract provisions, medical, vocational, and employment information.
• Identifies questionable aspects of the claim to determine the need for additional information, taking into consideration contract provisions and medical and vocational evidence of the claim.
• Conducts timely reviews in accordance and compliance with the Employee Retirement Income Security Act of 1974 (ERISA).
• Responds to inquiries in a timely manner.
• Prepares clear and concise written correspondence with claimants, policyholders, and attorneys in a timely manner.
• Tracks and reports information via the Appeal Tracking Database.
• Identifies opportunities and issues for ongoing improvement of the process.
• Performs other related duties as assigned or required.

Essential Business Experience and Technical Skills:

Required

• 3-5 years of STD or LTD experience
• Strong written and verbal communication skills
• High School Diploma required

Preferred

• Knowledge of writing letters
• Bachelor's Degree

Travel

0-5%

"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

MetLife:

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 help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are one of the largest institutional investors in the U.S. with $659.6 billion of total assets under management as of December 31, 2020. We are ranked #48 on the Fortune 500 list for 2020. In 2020, we were named to the Dow Jones Sustainability Index (DJSI) for the fifth year in a row. DJSI is a global index to track the leading sustainability-driven companies.

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world. Visit us at www.metlife.com to learn more about our brand, history, and values.

We want to make it simple for all interested and qualified candidates to apply for employment opportunities with MetLife. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to accommodations@metlife.com or call our Employee Relations Department at 1-877-843-3711.

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to 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.

Requisition #: 117178

Keywords: MetLife, Inc., New England , Appeals Specialist - Short Term Disability, Other , Bloomfield, Northeast