20 days old

Appeals Specialist - STD

Oriskany, NY 13424
**Job Location:** Work from Home

**Role Value Proposition:**

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Were looking for unique talent with fresh perspectives that can propel innovation. In this role you will conduct timely reviews and analyses of adverse benefit determinations on short-term disability claim files received on appeal and renders final determinations in accordance with ERISA laws and regulations

**Key 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.

**Essential Business Experience and Technical Skills:**


+ 3-5 years of STD or LTD experience

+ Strong written and verbal communication skills

+ High School Diploma required


+ Knowledge of writing letters

+ Bachelors Degree



**Business Category**

_Global Technology and Operations_

**Number of Openings**


**At MetLife, were leading the global transformation of an industry weve long defined. United in purpose, diverse in perspective, were dedicated to making a difference in the lives of our customers.**


  • Legal

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Appeals Specialist - STD

Oriskany, NY 13424

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Oriskany, NY

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