Lead Long Term Disability Claims Specialist

About the role

The Lead LTD Claims Specialist plays a crucial role in MetLife’s Global Customer Service and Operations (GCSO) team, focusing on the management of complex long-term disability (LTD) claims. This role ensures accurate, well-documented claim decisions while delivering a high-quality customer experience.

Responsibilities

• Lead the management of the most complex long-term disability (LTD) claims by exercising independent judgment to ensure accurate, timely, and compliant claim decisions.
• Create thorough claim documentation and correspondence by analyzing medical, occupational, financial, and policy information to support well-documented determinations.
• Oversee claim evaluations by identifying and reconciling inconsistencies, leveraging Fraud, Waste and Abuse resources, and resolving escalated customer concerns while referring matters to appeals, complaints, or litigation support as needed.
• Manage communication with claimants, customers, providers, attorneys, brokers, and family members by delivering clear, timely updates on claim status, determinations, and complex benefit calculations.
• Develop associate capability and claim quality by supporting onboarding, coaching, mentoring, and participating in projects that drive continuous improvement and enhance the customer experience.
• Cook up with internal and external partners, including physicians, attorneys, vocational consultants, and CPAs, to obtain and evaluate information required for thorough and defensible claim decisions.

Requirements

• 5+ years of LTD/IDI insurance claims experience.
• Demonstrated customer service skills through internal and external customer interactions.
• Experience applying independent judgment and making well-reasoned decisions based on available facts.
• Strong problem-solving and critical-thinking skills.
• Proficiency working across multiple systems and technology resources in a fast-paced environment.
• Strong organizational and time-management skills.

Preferred Qualifications

• Bachelor’s degree; and knowledge of STD/FMLA, state leave laws, workers’ compensation, ERISA

Pay

The expected salary for this position is $50/hr.

Schedule

This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms.

Benefits

We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more!

About MetLife

MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!