Claims Analyst

About the role

MetLife Legal Plans operates in the employee legal services industry, providing voluntary legal benefits. The organization addresses the challenge of delivering accessible legal support to employees and their families. It serves nearly 7 million families and partners with over 200 Fortune 500 companies to offer legal plan services through a network of more than 18,000 attorneys.

The Claims Analyst role is responsible for reviewing and processing out-of-network fee reimbursement claims and attorney billing claims. This position ensures accuracy and compliance in claims handling, supports communication between internal counsel and plan members, and contributes to efficient claims payment processing. The role impacts the organization by maintaining the integrity of claim payments and supporting member satisfaction.

Responsibilities

• Obtain and maintain Adjusters licenses as required
• Analyze attorney claims and determine necessary adjustments
• Collaborate with Accounting to recover overpayments
• Place attorney claims on hold when further review is needed
• Apply appropriate claims notations for payments and audits
• Review claims within authority level and process counsel-reviewed claims
• Send billing inquiries to attorneys when additional information is needed
• Resolve audit discrepancies before forwarding claims for payment approval
• Analyze fee reimbursement claims for eligibility and documentation
• Ensure secure handling of member information
• Communicate claim status and requirements internally and with members
• Support fee reimbursement reconciliation and payment processing
• Submit documentation for appeals and reissues
• Perform other assigned duties

Requirements

• Active Claims Adjuster License
• Ability to multitask and meet deadlines with attention to detail
• Strong organizational skills for managing high-volume workload
• Self-motivated with ability to work independently and in a team
• Effective professional communication skills
• Proficiency with Microsoft Outlook, Excel, and Word
• Preferred: Active Claims Adjuster License for multiple states
• Preferred: 3+ years of claims processing experience
• Preferred: Bachelor's degree or equivalent work experience
• Preferred: Knowledge of claims and legal industry
• Preferred: Strong detail orientation and organizational skills
• Preferred: Ability to manage competing priorities efficiently

Benefits

• Two healthcare insurance options (Traditional PPO or HSA with employer contribution)
• Dental and vision insurance
• 401(k) plan with company contribution and access to financial advisors
• Generous paid time off program with 23-39 days annually based on years of service, plus prorated PTO for new hires
• Free Aura® Identity Theft & Fraud Protection