Job Location: Must be commutable distance to MetLife Office in San Juan, Puerto Rico

In office once a month for office meetings

Role Value Proposition:

Provides exemplary internal support to group disability income insurance claims by processing/evaluating claims in a timely and accurate manner.

Key Responsibilities:

· Supports the claim adjudication team with the initial claim setup in accordance with the plan provisions, identifies potential recurrent claims and utilizes several systems to verify coverage

· Structures LTD claims based on claim receipt date

· Verifies disability coverage (STD/Statutory/LTD) through use of appropriate systems

· Inputs data and evaluates claimant eligibility via information received from claimant, physician, and employer.

· Follows established claim policies and practices to identify any potential claim issues

· Reviews claim detail and makes necessary outbound calls as needed

· Performs other related duties as assigned or required

Essential Business Experience and Technical Skills:

Required:

· High school diploma

· Excellent computer skills

· Critical thinking in activities requiring analysis and investigation

· Strong communications skills, both written and oral

· Ability to prioritize and maintain quality

Preferred:

· 2+ years relevant business experience

· Some college

· Basic knowledge of STD, LTD, group disability, workers compensation, ERISA, social security, and state laws

Equal Employment Opportunity/Disability/Veterans

If you need an accommodation due to a disability, please email us at accommodations@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.