Absence Leave Solutions PFML Unit Leader Job at MetLife Services and Solutions, LLC, Oriskany, NY

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  • MetLife Services and Solutions, LLC
  • Oriskany, NY

Job Description

Description and Requirements

Global Operations (Global Ops) 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 the role of Unit Leader, you will manage a team responsible for investigating Disability and/or Absence claims within authorized guidelines. You will be responsible for ensuring that the team achieves or exceeds its business objectives in the areas of Claim Management Accuracy, Customer Centricity and Expense Management.

Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR, West Des Moines, IA office

Once a month in office for meetings

Key Responsibilities:

  • Supports and guides assigned team members to ensure that they have the knowledge, skills, tools, and resources to be successful as defined by MetLife and our customers.
  • Clearly articulate the vision of success at the team and organizational level, how each role, and individual contributes to the aligned goals and objectives.
  • Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along with recommended solutions.
  • Evaluate and manage team accountability by providing positive reinforcement or development opportunities to team members that are directly linked to their behaviors and performance objectives.
  • Intervenes as required to address acute gaps in performance, either of individuals on the team, or the team as a whole.
  • Perform people management duties that include one on one sessions to address metrics reviews and career development. Ensure 100% compliance of mandatory training courses.
  • Exhibits excellent interpersonal and communication skills in both verbal and written form with customer service proven through internal and external interactions.
  • Drives Claim Management Accuracy and customer experience through support of the quality program utilizing claim file reviews and call monitoring to identify improvement opportunities, gaps in knowledge, trends for quality, service and/or compliance.
  • Accountable for team correctly performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers’ plan/policy and regulations.
  • Ensures team accurately sets up and administers all applicable concurrent claims based on the customers plan and/or policies to include but not limited to; Short Term Disability, Family and Medical Leave, Paid Family and Medical Leave, Statutory Disability and/or employer sponsored benefit leaves.
  • Facilitates regular team huddles/team meetings to evaluate inventory management through demand and capacity, provide process updates, communicate organizational news and other related topics.
  • Effectively managing team to provide a high-level of service to our customers such as delivering on our commitments, ensuring timely return of phone calls, and adhering to customer goals,
  • Mitigate risk by ensuring the team is applying all appropriate plan provisions and making accurate and timely.
Essential Business Experience and Technical Skills:

Required:
  • 2+ years of Disability and/or Absence Management experience,
  • A comprehensive understanding of disability and/or absence management contractual provisions,
  • Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
  • Basic knowledge of medical conditions, treatments, prognosis and FMLA and/or PFML requirements,
  • Critical-thinking skills
  • Ability to give and receive feedback to and from partners,
  • Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy,
  • Prioritization and time management sills - the ability to juggle multiple items at the same time and complete items on time,
  • Ability to Partner with Internal/External Customers
Preferred:
  • Associate Degree
  • 2 plus years of hands-on claims management experience preferably
  • 5 plus years of Management
  • Proficient in Microsoft Office Suite



The expected salary range for this position is $65,000 - $85,000. This role may also be eligible for annual short-term incentive compensation. 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 "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™, as well as the 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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible . Join us!


MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law (“protected characteristics”).


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.


It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.


$65,000 - $85,000

Job Tags

Temporary work, Work at office, Local area,

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