vacancies (USA-FL-Tampa) Supervisor - Long Term Care Claims jobs USA

(USA-FL-Tampa) Supervisor - Long Term Care Claims



Job Location Tampa, FL Job Description **_Summary of Responsibilities:_** **This function develops, maintains, motivates, and manages the activities of Long Term Care (LTC) Claims Care Coordinators to ensure the highest level of service to customers and risk management according to State Compliance and regulatory requirements. ** **___________________________________________________________________________________** **_Principal Responsibilities:_** * Supervises a team of associates responsible for evaluating long-term care claims and benefit eligibility determinations. * Assists with staff coaching, performance planning, and development. * Reviews claims to ensure compliance with legislative guidelines/established standards and time service standards. * Handles any escalated customer claims-related appeals and complaints in an effective and timely manner, serving as a subject matter expert for team members. * Develops, implements and documents all processes and procedures related to claims. * Ability to track such things as productivity, cycle time, accuracy and monitors these factors continually, both for individual associates and for the team as a whole. * Ensures that all performance expectations, internal and external audit standards and regulatory requirements are met, including compliance with HIPAA privacy laws. * Recommends and implements process improvements to achieve cost savings, service upgrades and/or fraud prevention, updating documentation as required. * Partners with IT on all claims-related systems issues. * Demonstrates knowledge of legal issues and has understanding of the litigation process. * Interacts effectively with individuals at various levels and departments to achieve effective outcomes. * Performs other related duties as assigned or required. **_Supervisory Responsibilities:_** * Assists with people management responsibilities, including hiring, firing, promotions, performance management and compensation planning, and training and development. **_Knowledge/Skills/Competencies:_** * **HS, Bachelor’s Degree Preferred** * **5+ years relevant business experience** * **Requires comprehensive knowledge of the functions, work procedures, arrangements, etc. of direct reports** * **V****ery strong supervisory skills and an understanding of the Company’s human resources policies and procedures** Business Category Americas Region Job Category Claims Number of Openings 1 Equal Employment Opportunity MetLife is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce. How To Apply For immediate consideration, click on the Apply Now button below. You will be directed to complete an on-line profile which may take 15 – 20 minutes to complete. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.



(USA-FL-Tampa) Supervisor - Long Term Care Claims



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