Short Term Disability Claim Specialist

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 The Short Term Disability Claim Specialist will be responsible for reviewing and assessing Disability claims that come in for our customers. You will review medical documentation, speak with claimants/customers on the phone, and manage a caseload to ensure proper handling of our procedures and policies to determine if a claim is payable. You will also ensure excellent communication, use critical thinking skills, and make determinations on claims that are submitted for various medical conditions. Key Responsibilities Work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, and business continuity. Apply all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Encourage and support return to work through a variety of programs and methodologies. Proactively communicate with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations if other resources (Voc, etc.) will be contacted. Partner 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, his or her functional capacity, and the prognosis for increased capacity. Execute individual claim action plans, serve as point of contact for the claimant, and make claim decisions. Manage the overall block of assigned claims, prioritizing actions, utilizing resources appropriately, and making timely, accurate decisions. Provide a high level of service to the claimant, including delivering on commitments, returning phone calls promptly, and communicating clearly. Proactively update partners that may be working with the claimant when key events are considered or have occurred (closure, RTW, etc.). Required Qualifications High school diploma or GED equivalent. New hires should live within commutable distance from the site the role is posted in. A comprehensive understanding of the disability contractual provisions, especially the definition of disability. Strong communication skills, including the ability to coach a case specialist to interview claimants dynamically to set expectations and obtain necessary information. Basic knowledge of medical conditions, treatments, and prognosis. Expertise in the system and tools (e.g., MDG, DPA, Intellis) and the ability to leverage these tools to improve claim management effectiveness. Strong coaching and mentoring skills. Critical‑thinking skills. Ability to give and receive feedback using specific measurements and observed behaviors. Openness to receiving feedback. Strategic‑thinking skills. Prioritization skills, balancing quantity and quality. Availability for mandatory paid training starting on June 22nd, lasting up to 7 weeks, with all training days required to be present. Preferred Qualifications A comprehensive understanding of the disability contractual provisions, especially the definition of disability. Strong communication skills, including the ability to coach a case specialist to interview claimants dynamically to set expectations and obtain necessary information. Basic knowledge of medical conditions, treatments, and prognosis. Expertise in the system and tools (e.g., MDG, DPA, Intellis) and the ability to leverage these tools to improve claim management effectiveness. Strong coaching and mentoring skills. Critical‑thinking skills. Ability to give and receive feedback using specific measurements and observed behaviors. Openness to receiving feedback. Strategic‑thinking skills. Prioritization skills, balancing quantity and quality. The expected salary range for this position is $48,000 - $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 We offer comprehensive health coverage that includes medical, prescription drug, vision, and dental insurance, as well as no‑cost short‑ and long‑term disability. Additional benefits include company‑paid life insurance, legal services, a pension, 401(k) with employer matching, group discounts on voluntary insurance products, an employee assistance program, digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance, and more. 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 (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. If you need an accommodation due to a disability, please email us at View email address on click.appcast.io. This information will be kept in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug‑free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. #J-18808-Ljbffr MetLife