Group Life Claim Reviewer

MetLife, Inc.; New York (NY); On-site; USD 37,000 - 46,000; Full time

Benefits offered by this job

Health insurance

401(k) with employer matching

Life insurance

Paid time off

Job summary

MetLife, Inc. is seeking a Claim Reviewer as part of its Global Customer Service and Operations (GCSO) team.

The role focuses on high-quality review and payment of Group Life claims while delivering compassionate service to beneficiaries and families of deceased employees across the country. You will learn the Group Life claims process, handle inquiries, and ensure timely processing within regulatory guidelines, all while maintaining production and quality standards and supporting continuous

Qualifications

• New hires should live a commutable distance from the site the role is posted in.
• Strong communication skills, both written and oral.
• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
• Experience with Microsoft Suite (Word, Excel, Teams, etc.)
• 1+ years Customer Service background with a focus on delivering white glove service to clientele.
• High School Diploma or GED equivalent.
• This role has mandatory paid training

Responsibilities

• Checks Group Life claim documentation or other company forms for completeness and accuracy.
• Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.
• Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.
• Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.
• Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.
• Completes all work within turnaround time to meet department and customer objectives.
• Maintain production and quality standards.
• Ensure compliance with state regulations for Group life claims by sending appropriate notifications.
• Mentor Reviewers as needed
• Provide compassionate call outs to claimants to assist with the claims process and offer additional services.
• Ai tools used to cross reference library procedures and year end reviews summary

Skills

Communication skills

MS Office

Customer Service

Attention to detail

Problem solving

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

Job description

The Opportunity

On MetLife’s Global Customer Service and Operations (GCSO) team, customer care is built on trust, empathy, and a commitment to continuous improvement. Whether guiding customers through life’s important moments, solving challenges, or simplifying processes with innovative technology, you’ll help deliver a differentiated experience grounded in operational excellence. Backed by a collaborative team, you’ll play a vital role in strengthening the way we care and advocate for millions worldwide. Here, making a real difference isn’t just a goal - it’s what we do, one conversation at a time.

The Claim Reviewer is responsible for providing high quality review and payment of claims, and also provide compassionate service to our beneficiaries and families of deceased employees to assist with the claims process across the country. This is an exciting opportunity to learn the Group Life claims process and potential to further your development, while making a positive impact on our claimants.

Key Responsibilities

• Checks Group Life claim documentation or other company forms for completeness and accuracy.


• Evaluate Group Life claim submissions for accuracy to ensure correct claim payment.


• Evaluate Group Life claim submissions to identify situations requiring referral to Claim Examiner.


• Reviews data from various sources, including policyholders; translates it into appropriate media for input into a Windows based computer system (BIOS).


• Respond to written and/or telephone inquiries from policyholders, beneficiaries, attorneys and families of deceased employees.


• Provide guidance to beneficiaries on claim processes and resolve customer issues swiftly and thoroughly.


• Completes all work within turnaround time to meet department and customer objectives.


• Maintain production and quality standards.


• Ensure compliance with state regulations for Group life claims by sending appropriate notifications.


• Perform support functions as needed.


• Provide high quality, timely service to policyholders, beneficiaries, attorneys, families of deceased employees and administration; resolve customer issues swiftly and thoroughly by offering recommendations and solutions.


• Mentor Reviewers as needed


• Provide compassionate call outs to claimants to assist with the claims process and offer additional services.


• Ai tools used to cross reference library procedures and year end reviews summary

Required Qualifications

• New hires should live a commutable distance from the site the role is posted in.


• Strong communication skills, both written and oral.


• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.


• Experience with Microsoft Suite (Word, Excel, Teams, etc.)


• 1+ years Customer Service background with a focus on delivering white glove service to clientele.


• High School Diploma or GED equivalent.


• This role has mandatory paid training

Preferred Qualifications

• 1+ years’ experience in a call center. Focus on outbound calls preferrable.


• Prior experience reviewing insurance claims.


• College Degree or high education.

Salary

The expected salary range for this position is $41,600 . This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.

Benefits We Offer

Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more! For more information regarding MetLife’s U.S. benefits, please click here .

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.

As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We’re looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.

Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible . Join us!

Equal Opportunity Employer

MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at [e-mail]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace.

Legal

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.

Vacancy Status

This posting is for a current vacancy and is anticipated to remain open for at least 90 days from the listed posting date.