Short Term Disability Unit Leader
Posted on: 23 Nov 2021
Bloomfield, CT
Job Description
Role Value Proposition:
At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will ensure decisional accuracy and timeliness of all STD claim decisions.
Key Responsibilities:
Works with customers and account team to negotiate, arbitrate, and resolve issues, concerns, and expectations regarding process, service and performance guarantees.
Full people management responsibilities, including hiring, firing, promotions, performance and compensation management, and training and development.
Manages risk and performance of assigned team and claim block consisting of pending and open STD, state and FML claims.
Accountable for ensuring team performance with delivery on customer commitments and high-quality claim decisions which includes intimate knowledge of actions and decisions made by members of team and appropriate coaching and performance management to address any discrepancies.
Responsible for identification and delivery of action plans including Quality Assurance results, customer specific performance guarantees, control reports, UM Scorecard, Appeals, customer escalations and complaints, etc.
Acts as project lead and /or participates in various project assignments, including the customer implementation period (for new business).
Conducts quality management reviews to ensure financial and decisional accuracy.
Track’s data and analyzes and reports information via established claims metrics report on standard and customized levels.
Manages individual unit operating costs.
Participates in customer presentations and new account implementations.
Performs other duties as assigned or required.
Essential Business Experience and Technical Skills:
Required:
High School diploma
7+ yrs. insurance claims experience.
Preferred:
Bachelor’s degree
9+ yrs. insurance claims experience.
Solid business knowledge of STD/LTD/Group Life Disability products, in addition to Workers’ Compensation, State laws, ERISA and Tax laws, ADA, FMLA, Rehabilitation, Social Security, Special Investigation processes.
Strong customer satisfaction focus.
MetLife
New York, New York
MetLife, Inc. is the holding corporation for the Metropolitan Life Insurance Company (MLIC), better known as MetLife, and its affiliates. MetLife is among the largest global providers of insurance, annuities, and employee benefit programs, with 90 million customers in over 60 countries. The firm was founded on March 24, 1868 MetLife ranked No. 43 in the 2018 Fortune 500 list of the largest United States corporations by total revenue.
On January 6, 1915, MetLife completed the mutualization process, changing from a stock life insurance company owned by individuals to a mutual company operating without external shareholders and for the benefit of policyholders. The company went public in 2000. Through its subsidiaries and affiliates, MetLife holds leading market positions in the United States, Japan, Latin America, Asia's Pacific region, Europe, and the Middle East. MetLife serves 90 of the largest Fortune 500 companies. The company's principal offices are located at 200 Park Avenue, New York City in Midtown Manhattan, New York City, though it retains some executive offices and its boardroom in the MetLife Building, located at 200 Park Avenue, New York City, which it sold in 2005.
In January 2016, the company announced that it would spin off U.S. Retail business, including individual life insurance and annuities for the retail market, in a separate company called Brighthouse Financial. They will maintain the MetLife name on MetLife Stadium. On March 6, 2017, the separated U.S. Retail business launched Brighthouse Financial – an independent company focused on life insurance and annuities.
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IndustryInsurance
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No. of Employees49,000
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Website
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Jobs Posted394
