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Claims Approver - Long Term Care Job in Tampa, FL 33603

Title :

Claims Approver - Long Term Care

Company :


Location :

Tampa, FL 33603

Date Acquired : 10/8/2019 11:44:43 PM
Date Updated : 11/18/2019 10:05:29 PM
**Job Location:** Tampa, FL

**Role Value Proposition:**

Investigates long-term care claims and makes determination on claims settlement within authorized guidelines.

**Key Responsibilities:**

+ Follows established policies and practices to resolve claim issues.

+ Reviews claim data to make claim settlement decisions.

+ Responsible for quality check of claims processed in the claim system for processing and financial accuracy.

+ Reviews bills/invoices for evidence of fraud.

+ Appropriately escalates issues to the supervisor for resolution as needed.

+ Performs other related duties as assigned or required.

**Essential Business Experience and Technical Skills:**


+ High School Diploma

+ 2-3 years Claims experience

+ Critical thinking

+ Multi-tasking


+ Associate's degree or equivalent business experience

+ 5+ yrs. insurance claims settlement experience

+ Critical thinking and analytical skills

**At MetLife, were leading the global transformation of an industry weve long defined. United in purpose, diverse in perspective, were dedicated to making a difference in the lives of our customers.**

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

**For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.**

Requisition #: [[112172]]