Long Term Disability Claims Specialist II

About the role

The Long-Term Disability Claims Specialist II evaluates and manages long term disability claims, making timely and accurate claim decisions, and delivering a responsive and supportive customer experience.

Responsibilities

• Evaluate and manage moderately complex long term disability claims, using independent judgment to make timely, balanced, and accurate claim decisions.
• Create clear, detailed, and accurate claim documentation, correspondence, and written determinations that reflect policy provisions, regulatory requirements, and claim status updates.
• Oversee the claim evaluation process by reviewing medical, occupational, financial, and policy information to ensure thorough, reasonable, and compliant determinations.
• Manage an assigned caseload of pending and ongoing claims with minimal oversight while maintaining service standards, inventory control, and consistent performance against key indicators.
• Develop action plans and identify return-to-work potential by analyzing claim information, clarifying inconsistencies, and determining when additional information or escalation is needed.
• Cook up communication and collaboration with claimants, representatives, physicians, attorneys, brokers, family members, and internal partners to gather needed information and support sound claim outcomes.

Requirements

• High school diploma and at least 1 year of disability insurance claims experience, with the ability to evaluate claim information and make timely, balanced, and accurate claim decisions.
• Critical thinking, analysis, and sound judgment to review available facts, assess risk, use independent decision-making, and determine appropriate next steps in complex claim situations.
• Strong communication, customer service, and collaboration skills, with the ability to manage interactions effectively across internal and external partners in both verbal and written settings.
• Creative problem-solving, conceptual thinking, risk awareness, and strong organizational and time management skills to handle complex situations effectively and maintain a consistent workload.

Preferred Qualifications

• Bachelor’s degree
• 2+ years of disability experience

Pay

The expected salary range for this position is $41,600 - $62,500. 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.

Schedule

MetLife offers 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!

Benefits

MetLife offers a drug-free workplace and is an Equal Opportunity Employer. If you need an accommodation due to a disability, please email us at accommodations@metlife.com.