Long Term Disability Claims Specialist I

About the role

The Long-Term Disability Claims Specialist I evaluates long term disability claims, gathers and analyzes medical, occupational, financial, and other relevant information to support sound claim decisions. They oversee an assigned caseload of pending and active disability claims, ensuring timely follow-up, consistent progress, and effective management of priorities in a fast-paced environment. They manage proactive communication with claimants, representatives, customers, attorneys, brokers, and family members by providing updates, explaining claim decisions, and gathering critical claim information. They develop action plans, identify return-to-work potential, and address inconsistencies or escalated issues by applying critical thinking and appropriate claim resolution strategies. They coordinate with internal and external resources, including physicians, attorneys, and clinical or vocational consultants, to obtain information needed for thorough, reasonable, and well-supported claim decisions.

Responsibilities

• Evaluate long term disability claims by gathering, reviewing, and interpreting medical, occupational, financial, and other relevant information to support sound claim decisions.
• Create clear, accurate, and timely claim documentation, correspondence, and recommended decisions that align with plan provisions, service expectations, and regulatory requirements.
• Oversee an assigned caseload of pending and active disability claims, ensuring timely follow-up, consistent progress, and effective management of priorities in a fast-paced environment.
• Manage proactive communication with claimants, representatives, customers, attorneys, brokers, and family members by providing updates, explaining claim decisions, and gathering critical claim information.
• Develop action plans, identify return-to-work potential, and address inconsistencies or escalated issues by applying critical thinking and appropriate claim resolution strategies.
• Cook up with internal and external resources, including physicians, attorneys, and clinical or vocational consultants, to obtain information needed for thorough, reasonable, and well-supported claim decisions.

Requirements

• High School Diploma and the ability to work within a commutable distance of the posted site to support effective onboarding, training, and role readiness.
• Customer service and claim support experience with the ability to gather information, communicate clearly, and help drive timely, informed disability claim decisions.
• Critical thinking, analysis, investigation, and problem-solving skills with a disciplined, organized work style to assess claim details, prioritize caseloads, and develop appropriate next steps.
• Strong interpersonal, written, and verbal communication skills paired with a customer-focused, proactive, and collaborative approach to working with claimants, partners, and internal stakeholders.

Qualifications

• Bachelor’s degree preferred.
• Experience in disability claims.

Skills

• Thorough and balanced disability claim evaluations.
• Clear, accurate, and timely claim documentation.
• Effective communication with claimants, representatives, customers, attorneys, brokers, and family members.
• Proactive management of caseloads and prioritization of tasks.
• Collaboration with internal and external resources.
• Application of critical thinking and appropriate claim resolution strategies.

Benefits

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!

Pay

$41,600 - $60,500

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.

Contact Information

If you need an accommodation due to a disability, please email us at accommodations@metlife.com. 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. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.