Lead LTD Claims Specialist: Complex Cases

MetLife; United States; On-site; USD 42,000 - 63,000; Full time

Job summary

MetLife’s Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist II to evaluate and manage complex claims across the United States. You will make timely, balanced determinations, document outcomes, and ensure compliance with regulatory requirements while delivering compassionate customer support.

You will collaborate with claimants, physicians, attorneys, and internal partners, using critical thinking and AI-assisted tools to navigate difficult cases and

Qualifications

• High school diploma required; December 14, 2026 start date.
• 1+ years of LTD/IDI disability experience.
• Strong critical thinking, analysis, and independent decision-making.
• Excellent communication, collaboration, and stakeholder management.
• Experience using AI in a professional setting.

Responsibilities

• Lead evaluation and management of moderately complex long term disability claims.
• Create detailed claim documentation and determinations reflecting policy and regulations.
• Oversee claim evaluation with medical, occupational, and financial data for compliant outcomes.
• Manage an assigned caseload with service standards and KPI targets.
• Develop return-to-work plans and request additional information when needed.
• Coordinate with claimants, physicians, attorneys, and internal partners.

Skills

Critical thinking

Communication

Collaboration

Time management

AI in workplace

Education

High school diploma

Bachelor's degree

Job description

MetLife’s Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist II to evaluate and manage complex claims across the United States. You will make timely, balanced determinations, document outcomes, and ensure compliance with regulatory requirements while delivering compassionate customer support.

You will collaborate with claimants, physicians, attorneys, and internal partners, using critical thinking and AI-assisted tools to navigate difficult cases and