Disability Claims Specialist I — Make a Meaningful Impact

MetLife; Village of Oriskany (NY); On-site; USD 65,000 - 95,000; Full time

Job summary

MetLife's Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist I to evaluate claims, gather medical and financial information, and deliver timely, sound decisions in line with plan provisions and service standards.

You will manage an assigned caseload, document findings clearly, communicate decisions to claimants and representatives, and coordinate with physicians and attorneys when needed.

Qualifications

• High School Diploma and ability to start by Dec 14, 2026 within commutable distance to onsite location.

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

Education

High School Diploma

Job description

MetLife's Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist I to evaluate claims, gather medical and financial information, and deliver timely, sound decisions in line with plan provisions and service standards.

You will manage an assigned caseload, document findings clearly, communicate decisions to claimants and representatives, and coordinate with physicians and attorneys when needed.