Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
8/22/2017
Job Category:
Customer Service
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Claims Adjuster-No Fault/Med Pay
MetLife | Troy, New York
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Job Description

Job Location: United States : New York : Troy   

 

Role Value Proposition: 

This position supports the Metlife’s 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. This role provides exceptional customer service while investigating, evaluating and resolving no fault medical payment claims. 

    

Key Responsibilities:   

 

  • Interviews insureds, claimants and other parties to determine the facts of the claim.
  • Creates and documents claims file to comply with company guidelines and state regulations.
  • Reviews factual information to determine coverage and/or liability of all parties to the claim.
  • Determines value of the claim considering depreciation and actual cash value, negotiates and commits to the settlement, and moves claim to closure.
  • 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:

  • Customer focused
  • Strong decision making skills
  • Ability to work as a team
  • Ability to obtain licensing after hire
  • 2-5 yrs. related business experience.
  • Strong problem solving and critical thinking skills

 

 

Preferred:

  • Bachelor's degree   
  • Medical experience
  • Claims experience
  • Current adjusters license
  • Medical Payment experience

 

Business Category

< MetLife P&C Claims >

 

Number of Openings

<1>

At 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.” 

About MetLife

MetLife, Inc. is a leading global provider of insurance, annuities and employee benefit programs. Through its subsidiaries and affiliates, MetLife holds leading market positions in the United States, Japan, Latin America, Asia, Europe, the Middle East and Africa.

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