Reimbursement Coordinator Position Available In Orange, Florida

Reimbursement Coordinator
Location(s)
Tampa, Florida
Aurora, Illinois
Oriskany, New York
Bloomfield, Connecticut
Bridgewater, New Jersey
Cary, North Carolina
Omaha, Nebraska
Warwick, Rhode Island
Clarks Summit, Pennsylvania
San Juan, Puerto Rico
City/Cities
Aurora, Bloomfield, Bridgewater, Cary, Clarks Summit, Omaha, Oriskany, San Juan, Tampa, Warwick
Posting Region/States
Connecticut, Florida, Illinois, Nebraska, New Jersey, New York, North Carolina, Pennsylvania, Puerto Rico, Rhode Island
Country
United States
Working Schedule
Full-Time
Commutable Distance Required
Yes
Relocation Assistance Available
No
Posted Date
22-May-2025
Job ID
8887
Description and Requirements
Highly specialized job function that is responsible for claim analysis and claim processing for long term care services. This position is also accountable for reviewing claims for accuracy, timeliness, completeness and eligibility for multiple groups with varied benefits.

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 office
Once a month in office for meetings – 1st Thursday of every month
Key Responsibilities
Virtual role predominately work from a home office with required monthly visit to the assigned GCSO office
Analyze and process claims in a productive environment through our TLC claim system
Appropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments and overpayments
Review claims for receipt of all needed documentation and make outbound calls to providers for additional information
Collaborate with our Claim Support Specialists, Customer Call Center, Plan of Care Team and Benefit Eligibility Coordinators to provide a seamless claims experience
Abide by department guidelines and appropriately follow up on necessary tasks to process claims
Meet quality review standards of processed claims
Meet performance standards for financial accuracy, processing accuracy and claim timeliness
Respond to insured inquiries regarding specific claim details via telephone conversations and/or written correspondence
Gather and analyze information skillfully to identify and resolve problems in a timely manner

Essential Business Experience and Technical Skills Required:

Excellent analytical and mathematical skills
Ability to pay attention to detail
Ability to comprehend and apply varied rules to multiple policies
Works well in a team environment
Excellent organizational skills
Proven ability to meet quality and time standards
Basic knowledge of computer system, Microsoft Word, and Excel
The salary range for applicants for this position is $45,000 – $57,000.
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 2024 “World’s Most Admired Companies”, Fortune World’s 25 Best Workplaces™ for 2024, as well as the 2025 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 empathy, 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.