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Senior Case Management Specialist

Company: Met Life
Location: Tampa
Posted on: October 13, 2019

Job Description:

Job Location: Tampa, FL Alternate Location : None Role Value Proposition:Provides administration of benefits for Long-Term Care Insurance. Administration includes determination of benefit eligibility, information and referral, care management, insured advocacy, provider verification, claim processing and customer service.Key Responsibilities:

  • Handles incoming calls through the claim toll free lines.
  • Provides plan and claim information, assists with submission of claims and makes outbound calls to gather missing information on incomplete claims.
  • Conducts research when needed to resolve customer questions or complaints.
  • Able to appropriately explain varying plan provisions to customers accurately and in a professional manner. Responds to telephone inquiries from insureds regarding specific claim details.
  • Understands processes in entire department to assist callers with questions.
  • Works closely with the claim analysts and care managers to provide a seamless customer experience.
  • Outbound calls and letters to customers and providers to research incomplete claims.
  • Escalates complaints and potential complaints appropriately.
  • Documents calls in computer system.
  • Completes form letters, tasks and problem solve for resolution of customer issues.
  • Contributes ideas that enhance service quality.Essential Business Experience and Technical Skills:Required:
    • 2+ years of customer service experience
    • Strong verbal communication skills
    • Ability to perform detail-oriented work in a fast paced environment
    • Ability to be flexible with regard to process changes
    • Ability to multi-taskPreferred:
      • College degree preferredTravel NoneBusiness Category Global OperationsAt MetLife, we re leading the global transformation of an industry we ve long defined. United in purpose, diverse in perspective, we re dedicated to making a difference in the lives of our customers.MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.MetLife maintains a drug-free workplace.For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.Requisition # 111753

Keywords: Met Life, Tampa , Senior Case Management Specialist, Executive , Tampa, Florida

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