MetLife

At MetLife, we’re a purpose-driven company that helps our customers build a more confident future.

Remote

View Profile

Jobs//Remote//Customer Success//

Claim Reviewer

Sorry, this job was removed at 8:02 a.m. (EST) on Friday, April 5, 2024

View 287 Jobs

Find out who's hiring in Greater NYC Area.

See all Customer Success jobs in Greater NYC Area

View 287 Jobs

Apply

By clicking Apply Now you agree to share your profile information with the hiring company.

Save job

Description and Requirements
Responsible for receiving and handling customer telephone inquiries. Perform follow-up activity (send a letter, return a call, refer a case) as applicable. Review claims submission for completeness and accuracy. Records data in the Claims system for adjudication and payment to the Beneficiary. May also be responsible for setting up new claims, processing incoming mail, and handling expired call-ups.

Receive and handle telephone calls on the FEGLI customer service 800 #.

Make return telephone calls as required to handle the original customer inquiry.

Use FEGLI claims system to access information required to handle customer inquiries; identify OFEGLI case owners; enter comments into comment window; and complete and print or send phone slips as applicable.

Build new claims as well as review and process noncomplex claims (such as single or multi beneficiary or dependent coverage's) Consult with Manager on special customer inquiries.

Determine if customer inquiry needs to be referred for follow-up. Review and determine next steps on expired call ups and perform any necessary follow-ups regarding the claim.

Clearly and concisely communicate content of inquiry and levels of urgency to data and CMS owners via phones slips and comments.

Send and receive (standardized) e-mail for communication with agencies/OFEGLI staff and managers.

Processing incoming mail for new and existing claims.

Write manual letters and correspondence on FEGLI life claims.
§ High school diploma required. Associates Degree desired
§ 1-2 years insurance claims experience desirable.
§ Basic knowledge of Group Life claims desirable.
§ Strong data entry skills required.
§ Excellent oral and written communication skills.
§ Ability to adjust to multiple demands and shifting priorities.
§ Consistently demonstrates the MetLife values.
§ Plans and organizes time and priorities to achieve business results.
§ Uses business knowledge to make the best decisions for MetLife and its customers.
§ Shows commitment to team objectives and assists teammates with work.
§ Presents information in a clear and organized manner.
§ PC knowledge required.
§ Ability to work overtime required.
§ Good oral communication skills.
§ Work with confidential files.
§ Ability to manage workload to meet tight deadlines.

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.

Apply Now

By clicking Apply Now you agree to share your profile information with the hiring company.

Save job

Email For Later

loading ...

Emailed

By clicking Apply Now you agree to share your profile information with the hiring company.

Jhair Williams

Director, Product Development Engineering

CREATIVE FREEDOM

Marrying tech tools and human ideation

“As a techie, it’s exciting to work with cutting-edge technology — but tools alone only go so far,” said Williams. Ideating and innovating on how to solve business problems leveraging various technologies is the cornerstone of the product development engineering team’s daily work. “Our team is given the freedom to bring forth ideas and marry them with our tech,” said Williams. “Innovation is not limited to any platform or process – the solutions we drive can be very diverse! You could be working on rolling out a new transaction in our chatbot, enabling a self-service capability that improves speed to market from three days to five minutes or moving a solution to Azure cloud.”

There is a lot of discovery and learning for everyone at MetLife, which creates opportunities for growth by experimenting and becoming subject matter experts (SMEs) while developing new and marketable career skills.

Michael Ivanov

Full Stack Software Engineer

MODERNIZATION FOR ALL

All things agile, the cloud, and DevOps

MetLife’s organization-wide shift to DevOps and the cloud has created endless opportunities for Ivanov. “We are capitalizing on many modern technologies and best practices, which have led to exciting and technically challenging projects. These efforts have improved our ability to scale, increase our team’s agility and ensure that we are cloud-ready moving forward. We now deliver greater value through better-quality code in less time.” Ivanov's team is focused on agility, containerization, cloud readiness, build/release pipeline automation, test process improvements and more. “At MetLife, I have the opportunity to learn and experiment with cutting-edge technologies and tools while leveraging the insights of fellow industry experts.”

I am particularly passionate about the data pipeline and business intelligence reporting work that we are spearheading across MetLife. This work will drive new clarity and visibility to the business, allowing them to be more hands-on with data.

Pushpalata Sail

Scrum Lead lll

RESOURCES FOR GROWTH

Equipping teams with tools to thrive

MetLife’s resources for staying informed of emerging tech has equipped Sail with a variety of ways to experiment and gain new skills. These resources include: MyPath, an internal forum in which employees identify compelling projects or seek to learn technologies; Pluralsight, an external resource which aids technologists in upskilling; Women in Tech, an internal community which strives to provide networking for the next generation of women leaders in tech; and the MetLife Sponsor program, which provided Sail with the opportunity to attend the Dale Carnegie Training Program. “This world-famous course gave me confidence to gain the command I needed both in my work as a technologist and my personal life,” she said.

These resources enabled me to seek challenges and collaborations with other leaders in the business, to learn new technologies like Cloud Computing and DevOps and to accelerate across MetLife to ‘win the future’ — as we say it!