Disability Claims Specialist: Return-To-Work & Care

MetLif; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

Health plan

Life insurance

401(k) with employer match

Paid time off

Job summary

MetLife is seeking a Short Term Disability Claim Specialist to review medical documentation, communicate with claimants by phone, and manage a caseload to determine claim payable. You will apply disability policy provisions, coordinate with specialists, and drive efficient claim resolution using AI tools where appropriate.

The role emphasizes accuracy, clear communication, and proactive collaboration across teams to support return-to-work goals and customer care.

Qualifications

• Review disability claims and medical documentation for payability.
• Communicate with claimants to manage expectations and status.
• Apply policy provisions to determine liability and return-to-work options.
• Leverage AI tools to improve speed, quality and efficiency.

Responsibilities

• Apply disability contract provisions to ensure appropriate liability.
• Proactively update claimants and coordinate with resources.
• Maintain a well-structured plan for each claim and document decisions.
• Manage a block of claims with timely, accurate actions and contact with claimants.
• Deliver high-quality service with timely calls and clear communication.

Skills

Disability insurance

Written communication

Verbal communication

AI in day-to-day tasks

Education

High School Diploma

Associate Degree

Tools

MDG

DPA

Intellis

Job description

MetLife is seeking a Short Term Disability Claim Specialist to review medical documentation, communicate with claimants by phone, and manage a caseload to determine claim payable. You will apply disability policy provisions, coordinate with specialists, and drive efficient claim resolution using AI tools where appropriate.

The role emphasizes accuracy, clear communication, and proactive collaboration across teams to support return-to-work goals and customer care.