Long Term Disability Appeals Specialist (Bilingual)
MetLife - Oriskany, NY

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Job Location

Oriskany, NY

Alternate Location(s)

Bloomfield, CT

Alternate Location(s)

Tampa, FL

Alternate Location(s)

Mount Prospect, IL

Virtual Location
Yes

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 Long Term Disability (LTD) claims experience

Good organizational skills

Proficiency with Microsoft Excel

Good communication skills

Must be bilingual and able to read/write in both languages (English/Spanish)

Business Category

Americas Region

Job Category
Claims

Salary Grade

28/3

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.

MetLife - 19 months ago - save job
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