Disability Claims Navigator - Return-to-Work Specialist

MetLife, Inc.; United States; Hybrid; USD 42,000 - 72,000; Full time

Benefits offered by this job

Health insurance

Life insurance

401(k) with employer match

Paid time off

Disability benefits

Job summary

MetLife, Inc. is seeking a detail-oriented claims professional to process STD/LTD disability claims across multiple states from offices in the United States. You will assess liability, collect medical information, and communicate decisions to claimants and stakeholders.

The role requires a High School Diploma and 2+ years of disability claims experience, with monthly in-office requirements at commutable locations nationwide. U.S. benefits and a comprehensive package are offered.

Qualifications

• Strong communication skills, written and verbal.
• Ability to use AI to improve speed, quality, and efficiency.
• Disability claims experience is a plus.

Responsibilities

• Independently assess and render claim decisions for STD, PML, and state claims.
• Clarify functional capacity with medical and vocational information.
• Adhere to federal and state laws to ensure timely outcomes.
• Communicate outcomes and terms to claimants, doctors, and attorneys.
• Gather information from claimants, nurses, and employers to assess liability.
• Document rationale for claim directions and discretionary actions.
• Use claims tools to prioritize work and involve specialists when needed.

Skills

Communication

Analytical thinking

Problem solving

AI-assisted tasks

Education

High School Diploma

Job description

MetLife, Inc. is seeking a detail-oriented claims professional to process STD/LTD disability claims across multiple states from offices in the United States. You will assess liability, collect medical information, and communicate decisions to claimants and stakeholders.

The role requires a High School Diploma and 2+ years of disability claims experience, with monthly in-office requirements at commutable locations nationwide. U.S. benefits and a comprehensive package are offered.