SR. Claims Completion Specialist

About the role

The LTD Senior Completion Specialist provides timely, accurate, and high-quality internal support to group disability income insurance claims across the United States. This role supports the claim adjudication process, verifies coverage, evaluates claimant eligibility, and ensures claims are processed efficiently and accurately.

Responsibilities

• Lead initial claim setup support by assisting the claim adjudication team in accordance with plan provisions, identifying potential recurrent claims, and verifying coverage based on the claim receipt date.
• Create accurate claim records by inputting data and evaluating claimant eligibility using information received from claimants, physicians, and employers.
• Oversee claim review activities by following established claim policies and practices to help identify potential claim issues and ensure quality outcomes.
• Manage claim details and follow-up activities, including reviewing claim information and making necessary outbound calls as needed.
• Develop a strong understanding of internal claim processes, system requirements, and quality standards to support efficient and accurate claim handling.
• Cook up related duties and support activities as assigned or required to help meet business needs and customer expectations.

Requirements

• Must be in a commutable distance from Oriskany, NY or Aurora, IL
• High school diploma or equivalent education required to support accurate claim intake, documentation, and eligibility review activities
• Strong computer skills and ability to use internal claim systems, tools, and platforms to input data, review claim information, and support timely processing
• Critical thinking, written communication, and verbal communication skills to analyze information, investigate claim details, and clearly document or share findings
• Detail-oriented, organized, and quality-focused work style with the ability to prioritize tasks and support consistent, accurate outcomes

Preferred Qualifications

• 2+ years relevant business experience
• Basic knowledge of STD, LTD, group disability, workers compensation, ERISA, social security, and state laws

Pay

The expected salary range for this position is $41,600 - $61,000. 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

This role may have various schedules depending on the department and location.

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!

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!