Short Term Disability Claims Specialist
About the Role
On MetLife’s Global Customer Service and Operations (GCSO) team, customer care is built on trust, empathy, and a commitment to continuous improvement. Whether guiding customers through life’s important moments, solving challenges, or simplifying processes with innovative technology, you’ll help deliver a differentiated experience grounded in operational excellence. Backed by a collaborative team, you’ll play a vital role in strengthening the way we care and advocate for millions worldwide. Here, making a real difference isn’t just a goal - it’s what we do, one conversation at a time.
Responsibilities
- Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim.
- Within the context of liability, encourages and supports return to work through a variety of programs and methodologies.
- Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep them fully aware of the status of the claim, including setting expectations if other resources (Vocational Rehabilitation, etc.) will be contacting them.
- Partners with the claimant, specialty resources, and more experienced resources to ensure each claim has a well-understood plan tailored to the claimant’s unique situation, functional capacity, and prognosis for improvement.
- Proactively updates partners working with the claimant when key events are being considered or have occurred (e.g., claim closure, return to work).
- Manages an overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and making timely and accurate decisions.
- Executes individual claim action plans, serves as the point of contact for the claimant, and makes claim decisions.
- Provides a high level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
Requirements
- High school diploma or GED equivalent.
- A comprehensive understanding of disability contractual provisions, especially the definition of disability.
- Strong communication skills.
- Critical-thinking, strategic-thinking, and prioritization skills.
- Ability to give and receive feedback using specific measurements and observed behavior, as well as openness to receiving feedback.
Qualifications
New hires should live a commutable distance from the site the role is posted in: Tampa, FL or Bloomfield, CT.
- Associate Degree (preferred).
- 2+ years of claims management experience, preferably in the healthcare field (preferred).
- Proficient in Microsoft Word/Excel (preferred).
- Expertise in systems and tools such as MDG, DPA, Intellis, and how to leverage them to improve claim management effectiveness (preferred).
Pay
The expected salary range for this position is $40,000 - $52,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits
MetLife’s U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. Offerings include:
- A comprehensive health plan that includes medical, prescription drug, and vision coverage.
- Dental insurance.
- No-cost short- and long-term disability insurance.
- Company-paid life insurance and legal services.
- A retirement pension funded entirely by MetLife.
- 401(k) with employer matching.
- Group discounts on voluntary insurance products including auto, home, pet, critical illness, hospital indemnity, and accident insurance.
- Employee Assistance Program (EAP) and digital mental health programs.
- Parental leave.
- Paid time off, paid holidays, and volunteer time off.
- Tuition assistance.