Description and Requirements

Roles & Responsibilities

• 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.

• Responds to telephone inquiries from insured's regarding specific claim details.

• Understands processes within entire department to assist callers with questions and triage information received.

• Works closely with the Claims Reimbursement and Care Managers to provide a seamless customer experience.

• Outbound calls and letters to customers and providers to research incomplete claims.

• Escalate complaints and potential complaints appropriately

• Contributes ideas that enhance service quality.

• Performs project work and other related duties as assigned or required

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, 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.

As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.

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!