LTD Appeals Specialist
MetLife - Bloomfield, CT

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Job Title:

LTD Appeals Specialist

Job ID:

72100

Location:

Connecticut

Full/Part Time:

Full-Time

Regular/Temporary:

Regular

Job Location

Bloomfield, CT

Alternate Location(s)

Mt Prospect, IL

Job Description

Job Summary:
  • Conducts timely reviews and analyses of adverse benefit determinations on long-term disability claim files received on appeal and renders final determinations in accordance with ERISA laws and regulations.

Functional 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.
Supervisory Responsibilities: None.

Job Requirements
  • Must have 3-5 years LTD experience
  • Good organizational skills
  • Proficiency with Microsoft Excel
  • Good communication skills

Business Category

Americas Region

Job Category

Claims

Number of Openings

1

Equal Employment Opportunity

MetLife is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.

How To Apply

For immediate consideration, click on the Apply Now button below. You will be directed to complete an on-line profile which may take 15 – 20 minutes to complete. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

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