Group Life Claim Reviewer Oriskany / Central NY 2.2.26

Description and Requirements
Summary of Responsibilities:
Review Group Life claims submission for completeness and accuracy. Records data in the Group Life Claims system for adjudication and determines if claim documentation will need to be reviewed by a Claim Examiner. Respond to written and/or telephone inquiries timely. Place call outs to Claimants to assist with the claims process.
Job Title
Group Life Claim Reviewer
Job Location
Virtual within a commutable distance of Oriskany / Central NY. New Hires Should live within a commutable distance of our office in Oriskany NY.
Training
In- Person Training for 4 to 6 weeks, Monday through Friday, 8 AM to 4:30 PM.
Functional Responsibilities

• Checks Group Life claim documentation or other company forms for completeness and accuracy.
• Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.
• Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.
• Reviews data from various sources, including policyholders; translates it into appropriate media for input into a Windows based computer system (BIOS).
• Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.
• Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.
• Completes all work within turnaround time to meet department and customer objectives.
• Maintain production and quality standards.
• Ensure compliance with state regulations for Group life claims by sending appropriate notifications.
• Perform support functions as needed.
• Provide high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees and administration; resolve customer issues swiftly and thoroughly by offering recommendations and solutions.
• Mentor Reviewers as needed
• Provide compassionate call outs to claimants to assist with the claims process and offer additional services.

Essential Business Experience and Technical Skills:
Required

• New hires should live a commutable distance from the site the role is posted in.
• Strong communication skills, both written and oral.
• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
• Experience with Microsoft Suite (Word, Excel, Teams, etc.)
• 1+ years Customer Service background with a focus on delivering white glove service to clientele.
• High School Diploma or GED equivalent.
• This role has mandatory paid training starting on February 2nd. Candidates must be available and present for all training days.

Preferred

• 1+ years' experience in a call center. Focus on outbound calls preferrable.
• Prior experience reviewing insurance claims.
• Background in Life Claims (Claim intake and Notice of Loss).
• College Degree or high education.

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 our customers.
The expected salary range for this position is 42,000 - 48,200. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, 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.
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!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
42,000 - 48,200