Claim Examiner - Life

About the role

The Case Management Specialist plays a crucial role in MetLife’s Global Customer Service and Operations team, focusing on processing and adjudicating FEGLI life insurance claims. This role is essential to MetLife’s mission of providing exceptional service and support to customers and beneficiaries.

Responsibilities

• Review and index incoming mail and claim documentation
• Enter and maintain claim data across multiple systems
• Determine claim readiness and adjudicate claims within authority limits
• Conduct investigations and communicate with customers and internal partners
• Manage follow-up activities and ensure compliance with policy provisions, quality standards, production goals, and customer service expectations
• Support training initiatives, process improvements, and system enhancements

Requirements

• Strong analytical, organizational, and decision-making skills
• Excellent written and verbal communication skills with a customer-focused approach
• Proficiency in Microsoft Word, Excel, and data entry with strong attention to detail and accuracy
• Life insurance and/or claims experience preferred; college degree or equivalent relevant work experience is a plus
• Demonstrated commitment to confidentiality, company values, and flexibility to work overtime as needed

Preferred Qualifications

• Prior life insurance, claims adjudication, or financial services experience
• Experience reviewing and interpreting policy provisions, claim documentation, and beneficiary designations
• Knowledge of FEGLI products, claims processes, and regulatory requirements
• Proficiency navigating multiple systems and applications, including claims management platforms and Microsoft Office products
• Demonstrated ability to work independently, meet production and quality goals, and effectively manage competing priorities

Benefits

We offer a comprehensive benefits package including medical/prescription drug and vision, dental insurance, no-cost short- and long-term disability, company-paid life insurance, legal services, a retirement pension, group discounts, and much more. We also provide an Employee Assistance Program (EAP) and digital mental health programs.