Short Term Disability Claim Specialist

Description and Requirements Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal/external guidelines. Establishes a relationship with claimants to understand their perspective on disability. Using that perspective and other information, identifies the claimant’s functional capacity and leverages that capacity within the context of the contract to support and encourage return to work as appropriate. The Team You Will Join 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. The Opportunity Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal/external guidelines. Establishes a relationship with claimants to understand their perspective on disability. Using that perspective and other information, identifies the claimant’s functional capacity and leverages that capacity within the context of the contract to support and encourage return to work as appropriate. Key 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, encourage and support 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 with the claimant if other resources (Voc, etc.) will be contacting them. Partners with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, their functional capacity and the prognosis for an increase in that capacity. Proactively updates partners that may be working with the claimant when key events are being considered or have occurred (closure, RTW, etc.). Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision. Executes individual claim action plans, serves as 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. Required Qualifications New hires should live a commutable distance from the site the role is posted in. Oriskany NY, Bloomfield CT, Tampa FL, Cary NC High school diploma or GED equivalent. A comprehensive understanding of the disability contractual provisions, especially the definition of disability. Strong communication skills, including the ability to coach Case Specialist to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim. 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. Preferred Qualifications Associate Degree 1+ years of claims management experience preferably in Healthcare field Proficiency in Microsoft Word/Excel Location Expectation This is a hybrid role requiring a minimum of 3 days per week in office. Salary and Incentives The expected salary range for this position is $40,000 – $52,000. 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. Benefits We Offer 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 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, volunteer time off, tuition assistance and much more! Equal Employment Opportunity MetLife is an Equal Opportunity Employer. All employment decisions are made without regard to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law (“protected characteristics”). Accommodations for Disabilities If you need an accommodation due to a disability, please email us at View email address on click.appcast.io. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. Drug-Free Workplace MetLife maintains a drug-free workplace. #J-18808-Ljbffr MetLife