Description and Requirements
Job Summary:
At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Manager - Long Term Disability (LTD) Claims is responsible for the oversight of a team of individual contributors including Technical Claims Specialists and/or Lead LTD Claims Specialists as well as other projects required by business needs. In this role, the Manager - LTD Claims manages the risk and performance of the assigned team members and to ensure effective execution of all defined performance indicators. They are responsible for the oversight of key business assignments/segmentations as well as ensuring decisional accuracy and timeliness of all claim determinations, development of the assigned team members, customer implementations, project management and other related duties.
Key Responsibilities:
- Effectively m anage a team of individual contributors to ensure individual, team and LTD organization performance are meeting all key performance indicators and delivering on customer commitments through quality and timely claim determinations including compliance with ERISA and other state and regulatory requirements, accurate application of LTD contract provisions and customer variances
- Effectively anticipate, resolve and respond to any claim or productivity issues
- Responsible for the development of all team members including providing timely, detailed feedback on performance, coaching to address areas of opportunity and performance management as needed
- Responsible for all inquiries from team members, provides technical expertise to investigate and resolve claim matters as needed
- Accountable for the creation of the infrastructure, workflow, and culture that fosters data accuracy and documentation, leverages information to provide future vision, ensures financial accuracy and positive team engagement
- Conduct quality and other block reviews of decisions and team inventory to ensure financial and decisional accuracy
- Provide timely feedback to team members, and senior leaders as needed, and identifies training opportunities
- P articipate in customer presentations, new account implementations and special related projects to ensure all service and process expectations are outlined and adhered to in order to meet customer needs and to drive persistency
- Effectively manage customer accounts by responding to inquiries, negotiate, arbitrate and resolve issues and ensure the team is meeting all performance guarantees
- D evelop effective partnerships with peers, account team partners and other internal and external resources
- Responsible for all aspects of people management including interviewing/hiring, promotions, performance and compensation management, training and development
- Responsible for working effectively with Associate Manager peers and leadership to ensure that the team and the LTD organization meet performance goals related to claim management, customer service, staff development and any other business critical goals.
- Quickly identify solutions for the team, customer or LTD organization to rectify performance opportunities
- Promptly address and resolves escalated customer complaints in a timely and thorough manner and provides coaching as needed to individual team members
- Effectively monitor and manage individual unit operating costs (i.e. requests for medical records, use of supplies, referrals to resources, etc.)
- Act as project lead and/or participates in project assignments as required to address any business needs, drive improvement or increase productivity
- Effectively work with cross-functional claims management teams in the planning, enhancement, and implementation of workflow processes and claim administration, collaborates well with organizational partners to ensure optimal delivery of services to internal and external customers.
Essential Business Experience and Technical Skills:
Required:
- 4+ years of management and project management experience demonstrating strong leadership, coaching skills and planning and organizational skills
- Extensive knowledge of IDI, STD, LTD, group disability, Workers Compensation, ERISA, Social Security and state laws
- Strong analytical and decision-making skills with a focus on producing results
- Creative problem-solving abilities and the ability to think outside the box
- Excellent interpersonal and communication skills in both verbal and written form
- Excellent customer service skills proven through internal and external customer interactions
- Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
- Organizational and time management skills
- Ability to effectively manage multiple systems and technology resources
Preferred:
- Bachelor's degree
- 10+ years of LTD/IDI Insurance Claims experience
The salary range for applicants for this position is $80,000 - $110,000.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide 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, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies", Fortune World's 25 Best Workplaces™ for 2024, as well as the 2024 Fortune 100 Best Companies to Work For ®, MetLife , through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
$80,000 - $110,000
What We Do
Named one of Fortune’s “World’s Most Admired Companies,” MetLife is leading the global transformation of an industry we’ve defined for more than 150 years. At MetLife, every innovation and line of code is a lifeline for our customers and their families—from victims of natural disasters to people living with disabilities and beyond. With operations in more than 40 markets and leading positions across the globe, MetLife’s building a workforce of diverse and empowered voices that all belong. Join our remarkable journey—one in which you help write the next century of innovation in financial services—because with MetLife, making the world a better place is All Together Possible.
Why Work With Us
At MetLife, you’ll be working for a company whose purpose is to help customers throughout their life’s journey, and often in their most critical time of need. You’ll be a part of developing leading-edge platforms that will have a lasting impact on the lives and well-being of tens of millions of customers.
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Employees engage in a combination of remote and on-site work.
MetLife's current workplace policies classify roles as Office, Hybrid or Virtual based on the nature of work, encouraging new ways of working together