Inactive
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MetLife

Sells life insurance and workplace benefits

Long Term Disability Claims Specialist 2

Claims AdjudicationPosted on Oct 7
Full-timeUnited StatesIn-person

About the Job

Requirements

  • A high school diploma is required.
  • At least 1 year of long-term disability or individual disability income disability experience is required.
  • Ability to use critical thinking, analysis, and sound judgment to review available facts, assess risk, make independent decisions, and determine appropriate next steps in complex claim situations.
  • Strong communication, customer service, and collaboration skills are required, including effective verbal and written interactions with internal and external partners.
  • Experience utilizing artificial intelligence in a professional setting is required.
  • Creative problem-solving, conceptual thinking, risk awareness, organizational skills, and time management skills are required to handle complex situations and maintain a consistent workload.

Responsibilities

  • Lead the evaluation and management of 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 claim evaluation 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.
  • Coordinate communication and collaboration with claimants, representatives, physicians, attorneys, brokers, family members, and internal partners to gather needed information and support sound claim outcomes.

Desired Qualifications

  • A bachelor's degree is preferred.
  • At least 2 years of long-term disability or individual disability income disability experience is preferred.

About the Company

MetLife

Sells life insurance and workplace benefits

MetLife sells life, dental, disability and other insurance, along with annuities and retirement products, to individuals and to employers that offer them as workplace benefits. It is one of the largest US life insurers and a major supplier of group benefits to American employers, with insurance businesses across Asia, Latin America, Europe and the Middle East. Customers pay premiums for coverage, and MetLife invests those funds and also manages money for outside clients through its asset management arm. Its retirement business takes over pension obligations from employers and pays the monthly benefits owed to their retirees. MetLife was founded in 1868 and is based in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1868

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