Care Coordinator Long Term Care 7.1.24

This listing was posted on InsuranceJobs.

Care Coordinator Long Term Care 7.1.24

Location:

Tampa, FL

Description:

Description and Requirements Job Title: Care Coordinator Long Term Care Job Location: Tampa, FL - Virtual with In Person Training. All candidates must be within a commutable distance of the location in Tampa FL. Role Value Proposition: Global Operations focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We're looking for unique talent with fresh perspectives that can propel innovation. In this role you will evaluate long-term care claims and exercises independent judgment, discretion, and critical analysis to reach reasonable claims determinations that are in accordance with contract provisions and time service standards. Key Responsibilities : Virtual roles predominately work from home with periodic visits to assigned GCSO office as needed for team meetings, events, training business continuity, etc. Manages assigned caseload of initial/ongoing eligibility files with limited supervision. Utilizes critical thinking and independent judgment and analysis to provide timely, balanced, and accurate claims decisions in a time sensitive, compliance driven and fast paced environment. Compiles file documentation requiring extensive policy and factual detail. Identifies information and resources needed to make initial/ongoing benefit eligibility determinations, to include review of detailed medical information and other documentation necessary for rendering initial/ongoing eligibility decision. Communicates decisions to policyholders and or their representatives in both verbal and written form. Composes highly detailed letters to policyholders and or their representatives outlining status of review and basis of determination. Clarifies and reconciles inconsistencies. Conducts in depth detailed information-gathering phone calls that obtain medical condition details and other information. Engages with various medical and legal resources in situations where warranted. Represents MetLife at deposition and trial due to first party litigation environment. Essential Business Experience and Technical Skills: Required High School Diploma/GED 2+ years' experience in insurance, medical field, or case management Strong communication skills, both written and oral Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning. Experience using MS office products. Strong organizational skills. Preferred Bachelor's Degree. 2+ years' experience in social work, Child Welfare, FMLA Cast Management, or teaching. Experience with Microsoft One Note. Business Category Claims Operations Number of Openings 5 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." The wage for applicants for this position is $56,000.00 per year. This role is also eligible for annual short-term incentive compensation. MetLife offers a comprehensive benefits program, including healthcare benefits, life insurance, retirement benefits, parental leave, legal plan services and paid time off. All incentives and benefits are subject to the applicable plan terms. 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 2023 "World's Most Admired Companies" as well as the 2023 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 XXXX@metlife.com. 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. Requisition #: 20346ahf9io63

Company:

Metlife

Posted:

April 14 on InsuranceJobs

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Care Coordinator Long Term Care 7.1.24 | Care Coordinator in Nurse & Healthcare Job at Metlife1

Care Coordinator Long Term Care 7.1.24

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