Long Term Care- Benefit Intake Specialist Job at Florida Staffing, Tampa, FL

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  • Florida Staffing
  • Tampa, FL

Job Description

Job Opportunity

Must live within a commutable distance of the Tampa MetLife Office. Training will be in person for 2 weeks. Once a month in office for meetings.

Key Responsibilities:

  • Handles incoming calls through the claim toll free lines
  • Provides plan/policy 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.
  • Able to appropriately explain varying plan provisions to customers accurately and in a professional manner.
  • Responds to telephone inquiries from insureds regarding specific claim details.
  • Understands processes in entire department to assist callers with questions.
  • Works closely with the claim analysts and care managers to provide a seamless customer experience.
  • Outbound calls and letters to customers and providers to research incomplete claims.
  • Escalates complaints and potential complaints appropriately.
  • Documents calls in computer system.
  • Completes letters, tasks and problem solving for resolution of customer issues.
  • Contributes ideas that enhance service quality.
  • Performs project work and other related duties as assigned or required.

Essential Business Experience and Technical Skills:

  • Required: High School Diploma.
  • Preferred: Associate level or higher degree.
  • At least 2 years experience in a direct customer service position preferred.
  • Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
  • Strong problem solving and analytical skills.
  • Ability to work independently.
  • Comfortable working with multiple priorities in a changing environment.
  • Ability to prioritize and maintain quality.

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.

Job Tags

Work at office,

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