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Claim Examiner Life

MetLife
FULL_TIME Remote · US Oriskany, NY, US Posted: 2026-05-11 Until: 2026-06-10
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Job Description
Description and Requirements The Team You Will Join On MetLife’s Global Customer Service and Operations (GCSO) team, customer care is built on trust, empathy, and a commitment to continuous improvement. Whether guiding customers through life’s important moments, solving challenges, or simplifying processes with innovative technology, you’ll help deliver a differentiated experience grounded in operational excellence. Backed by a collaborative team, you’ll play a vital role in strengthening the way we care and advocate for millions worldwide. Here, making a real difference isn’t just a goal - it’s what we do, one conversation at a time. The Opportunity Location: Virtual (must live within a commutable distance to Oriskany, NY - Central NY) On-site Requirements: Hybrid training: 2-3 days per week in office Monthly in-office team meetings Position Summary The FEGLI Life Claims Specialist is responsible for evaluating, adjudicating, and processing Federal Employees’ Group Life Insurance (FEGLI) claims. This role requires strong analytical skills, excellent customer service, and the ability to navigate sensitive, complex claim situations with professionalism and empathy. Key Responsibilities Claims Evaluation & Processing Obtain and verify all missing information required to evaluate FEGLI life insurance claims. Interpret policy provisions and manually adjudicate claims within a payment authority up to $400,000 . Review claims to determine whether referral to a Complex Case Manager or Claims Quality Specialist is required. Actively follow up on open claims and ensure timely resolution. Maintain accuracy and compliance with production and quality standards.