7 days old

Claims Adjuster-No Fault

Troy, NY
**Job Location:** United States : New York : Troy

Role Value Proposition:

This position supports the Metlifes core values of putting the customer first, being the best, making things easier and succeeding together by providing a caring representative of Metlife to guide the customer through the claim process while working together on process improvements with the customer at the center of all our decisions.

Key Responsibilities:

+ Provides exceptional customer service while investigating, evaluating and resolving No Fault claims.

+ Communicates with insureds, claimants and other parties to determine the facts of the claim.

+ Documents claims file to comply with company guidelines and state regulations.

+ Reviews factual information to determine coverage of all parties to the claim.

+ Performs medical bill audit, analysis and reviews medical records

+ Resolves complaints, and participates in arbitration and/or grievance procedures.

+ Recommends subrogation and/or SIU referral.

+ Manages pending claims to meet company quality criteria.

+ Performs other related duties as assigned or required.

Essential Business Experience and Technical Skills:

Required Qualifications:

+ High School Diploma/GED.

+ 2-3+ yrs. related business experience.

+ This position will be filled in Troy, NY

Preferred Qualifications:

+ Bachelors Degree

+ Insurance Experience

+ Claims Experience

+ Excellent verbal and written communication skills

+ Strong Computer skills

+ Medical background

+ Detail oriented and accurate

**Business Category**

_< MetLife P&C Claims >_

**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.**


  • Customer Service
  • Insurance

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Claims Adjuster-No Fault

Troy, NY

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Troy, NY

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