Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jeannine Childs

Utica

Summary

Analytical Claims Reviewer with over 11 years of experience in Group Life Claims. Expertise in claims investigations, regulatory compliance, and process improvement drives operational efficiency and enhances client satisfaction. Skilled in critical analysis and customer relationship management, ensuring accurate claim handling and optimal outcomes.

Overview

24
24
years of professional experience

Work History

Group Life Claim Reviewer

Metlife
Oriskany
08.2015 - 03.2026
  • Responsible for keying, processing, reviewing claim related mail and payment of claims up to $100,000.00
  • Researching information from both internal and external systems regarding claimants and customer's plan guidelines
  • Facilitated the referral of claims exceeding $100,000 to examiners.

Contributed to Metlife for over 20 years, with the last 11 years focused in the Group Life Claims Unit.

Disability Claims & Customer Service

Metlife
Oriskany
11.2001 - 01.2015
  • Determined eligibility for Long Term Disability claims in 2014 by conducting interviews, gathering medical documentation, and ensuring compliance with group plan guidelines, facilitating timely decision-making
  • Collected critical information from claimants, employers, and health care providers to expedite claim processing, improving overall service delivery
  • Answered phone inquiries and filed new claims telephonically in Group Disability Customer Service team since 2001, enhancing customer experience and claim accuracy

Education

Associate of Applied Science - General Studies

Mohawk Valley Community College
Utica, NY
08-1993

High School Diploma -

John F Kennedy
Utica, NY
06-1984

Some College (No Degree) - Psychology

Utica College
Utica, NY

Skills

  • Claim processing
  • Regulatory compliance
  • Medical documentation
  • Risk assessment
  • Data analysis
  • Customer relationship management
  • Critical analysis
  • Professional demeanor
  • Fact-checking
  • Claims investigation
  • Process improvement
  • Attention to detail

Timeline

Group Life Claim Reviewer

Metlife
08.2015 - 03.2026

Disability Claims & Customer Service

Metlife
11.2001 - 01.2015

Associate of Applied Science - General Studies

Mohawk Valley Community College

High School Diploma -

John F Kennedy

Some College (No Degree) - Psychology

Utica College
Jeannine Childs