Sr Long Term Disability Claims Specialist
About the role
The Senior Long-Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims, ensuring timely, balanced, and accurate decisions and customer support. This role supports MetLife’s purpose of helping customers build a more confident future.
Responsibilities
- Evaluate LTD claims in accordance with plan provisions, regulatory requirements, and service standards
- Create thorough claim documentation and correspondence, analyzing medical, occupational, financial, and policy information
- Oversee claim evaluations, identifying and reconciling inconsistencies, and resolving escalated customer concerns
- Manage communication with claimants, customers, providers, attorneys, brokers, and family members, delivering clear, timely updates on claim status and determinations
- Coordinate with internal and external partners, including physicians, attorneys, vocational consultants, and CPAs, to obtain and evaluate information for thorough and defensible claim decisions
Requirements
- 3+ years of LTD Insurance Claims experience
- Creative problem-solving abilities and independent judgement with critical thinking and analysis
- Excellent interpersonal and communication skills, both verbally and in writing, with strong customer service skills
Preferred Qualifications
- Bachelor’s degree
- Knowledge of STD/FML, state leave laws, worker’s compensation, ERISA, and Social Security
Benefits
We offer a comprehensive health plan, including medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. Other benefits include company-paid life insurance, legal services, a retirement pension, group discounts, and Employee Assistance Program (EAP).
Pay
The expected salary range for this position is $58,000- $69,000. 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
Details about the schedule are not specified in the job posting.
Benefits
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, company-paid life insurance, legal services, a retirement pension, group discounts, and much more!