Disability Claims Specialist II — Impactful, Timely Decisions

MetLife, Inc.; United States; On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Health insurance

401(k) with employer matching

Life insurance

Disability insurance

Paid time off

Job summary

MetLife is seeking an IDI Claims Specialist to evaluate individual disability income insurance claims across the United States. You will exercise independent judgment, apply contract provisions, and deliver fair, timely outcomes in a high-volume environment.

In this role, you will gather medical and financial information, document decisions, and communicate with insureds, attorneys, brokers, and partners to resolve issues.

Qualifications

• Requires high school diploma and ability to apply business knowledge to evaluate claims and communicate decisions clearly.
• Preferred bachelor’s degree; 3–5 years of related claims experience.
• Experience using business systems and documentation tools to manage claim files and correspondence.
• Strong critical thinking, judgment, and analytical decision-making; ability to work independently in a fast-paced environment.
• Excellent communication, customer service, organization, and professional writing skills.

Responsibilities

• Manage a caseload of pending, ongoing, and appeal reviews; ensure timely, accurate, and well-reasoned claim determinations in a high-volume environment.
• Conduct comprehensive fact-finding by gathering medical, financial, occupational, and stakeholder information to support informed decisions.
• Develop clear, detailed documentation and correspondence; analyze evidence, identify gaps, and reconcile inconsistencies to produce defensible outcomes.
• Coordinate communication with insureds, attorneys, brokers, and partners; explain decisions, resolve issues, and ensure alignment.
• Calculate and oversee benefit payments and financial components (offsets and non-routine payments) with accurate record-keeping and issue resolution.

Skills

Analytical thinking

Independent work

Written communication

Organizational skills

Professional writing

Documentation tools

Stakeholder communication

Education

High school diploma

Bachelor’s degree

Tools

FINEOS

Job description

MetLife is seeking an IDI Claims Specialist to evaluate individual disability income insurance claims across the United States. You will exercise independent judgment, apply contract provisions, and deliver fair, timely outcomes in a high-volume environment.

In this role, you will gather medical and financial information, document decisions, and communicate with insureds, attorneys, brokers, and partners to resolve issues.