Disability Claims Specialist I - Growth & Impact

MetLife; Cary (NC); On-site; USD 52,000 - 66,000; Full time

Job summary

MetLife’s Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist I to evaluate long term disability claims, gather medical information, and deliver timely decisions across the United States. Grow your claim evaluation and communication skills in a fast-paced environment with increasing responsibility toward a Specialist II role.

The role emphasizes strong critical thinking, collaboration with clinicians and attorneys, and adherence to plan provisions and

Qualifications

• High School Diploma and the ability to start working on December 14th, 2026, and the ability to work within a commutable distance of the posted site to support onboarding and role readiness.
• Office locations: Cary NC, Tampa FL, Bloomfield CT, Oriskany NY, Aurora IL, or San Juan PR.
• Customer service and claim support experience with disabilities or related claims processes.

Responsibilities

• Lead thorough and balanced disability claim evaluations by gathering, reviewing, and interpreting medical, occupational, financial, and other relevant information to support sound claim decisions.
• Create clear, accurate, and timely claim documentation, correspondence, and recommended decisions that align with plan provisions, service expectations, and regulatory requirements.
• Oversee an assigned caseload of pending and active disability claims, ensuring timely follow-up, consistent progress, and effective management of priorities in a fast-paced environment.
• Manage proactive communication with claimants, representatives, customers, attorneys, brokers, and family members by providing updates, explaining claim decisions, and gathering critical claim information.
• Develop action plans, identify return-to-work potential, and address inconsistencies or escalated issues by applying critical thinking and appropriate claim resolution strategies.
• Coordinate with internal and external resources, including physicians, attorneys, and clinical or vocational consultants, to obtain information needed for thorough, reasonable, and well-supported claim decisions.

Skills

Customer service

Claim support

Disability claims

Communication

Documentation

Education

High School Diploma

Job description

MetLife’s Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist I to evaluate long term disability claims, gather medical information, and deliver timely decisions across the United States. Grow your claim evaluation and communication skills in a fast-paced environment with increasing responsibility toward a Specialist II role.

The role emphasizes strong critical thinking, collaboration with clinicians and attorneys, and adherence to plan provisions and