Note: The job is a remote job and is open to candidates in USA. MetLife is a global financial services company providing insurance, annuities, employee benefits, and asset management. The Customer Service Associate - Claims role supports Group Life claims by handling customer calls, screening and entering claim information, reviewing documentation, processing simple claims, and managing correspondence and case inventories.
Responsibilities
- Receiving and handling incoming calls regarding Group Life Claims
- Review Group Life claims submission for completeness and accuracy, as well as processing simple Group Life Claims
- Cycle check (peer review) claims prior to final payment
- Screen incoming mail, faxes and correspondence using the claim system to identify ownership
- Process incoming beneficiary designations and manual certifications from the customer, enters receipt dates into the FEGI claim system
- Entering new claims into the claim system using a defined set of document criteria as well as update the system based on incoming mail or documentation
- Review documents required to make a claim Ready for Review by a claim approver (certification, death certificate, claim form, beneficiary designation, and funeral assignment)
- Review claims and placing them on future call up if not all documents are received to make ready for review as well as handle Expired call-ups
- Producing system generated letters
- Write manual letters and correspondence to claimants or agencies
- Maintain quality and production standards as defined in the operational metrics
Skills
- 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
- Associates Degree desired
- 1-2 years insurance claims experience desirable
- Basic knowledge of Group Life claims desirable
Benefits
- Annual short-term incentive compensation and stock-based long-term incentives, subject to the applicable plan terms.
- A comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability.
- 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.
- Employee Assistance Program (EAP) and digital mental health programs.
- Parental leave.
- Paid time off.
- Paid holidays.
- Volunteer time off.
- Tuition assistance.
Company Overview