Care Coordinator - LTC

LOCATION: Virtual, BUT MUST BE COMMUTABLE TO TAMPA, FL. TRAINING IS IN-OFFICE FOR 12 WEEKS. Key Responsibilities: u00b7 Manages assigned caseload of initial eligibility files with limited supervision. u00b7 Utilizes critical thinking and independent judgment and analysis to provide timely, balanced, and accurate claims decisions in a time sensitive, compliance driven and fast paced environment. u00b7 Compiles file documentation requiring extensive policy and factual detail. u00b7 Identifies information and resources needed to make initial benefit eligibility determinations, to include review of detailed medical information and other documentation necessary for rendering initial eligibility decision. u00b7 Communicates decisions to policyholders and or their representatives in both verbal and written form. u00b7 Composes highly detailed letters to policyholders and or their representatives outlining status of review and basis of determination. u00b7 Clarifies and reconciles inconsistencies. u00b7 Conducts in depth detailed information-gathering phone calls that obtain medical condition details and other information. u00b7 Engages with various medical and legal resources in situations where warranted. u00b7 Represents MetLife at deposition and trial due to first party litigation environment. Essential Business Experience and Technical Skills: Required u00b7 Strong communication skills, both written and oral u00b7 Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning u00b7 Experience using MS office products u00b7 Strong organizational skills. u00b7 High School Diploma/GED and 3-5 years related experience Preferred u00b7 Bacheloru2019s Degree u00b7 2-4 years professional experienceEqual Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at . 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.

Created: 2026-04-03