Long Term Disability Appeal Specialist

MetLif; United States; Remote; USD 65,000 - 67,000; Full time

Benefits offered by this job

Health insurance

Life insurance

401(k) with employer matching

Disability benefits

Job summary

MetLife’s Global Customer Service and Operations team seeks a Disability Appeal Specialist to review denied claims and perform holistic assessments under ERISA guidelines, focusing on accuracy and timely decisions. The role is virtual and nationwide, allowing collaboration with the Appeal team to apply plan provisions and data gathering for fair outcomes.

Competitive salary and strong benefits accompany this position.

Qualifications

• 3-5 years disability claim background with preference in appeal handling.
• Prioritization skills, multitasking, and attention to detail.
• Strong communication skills (oral and written) and ability to adapt to change.
• Experience utilizing AI in a professional setting.

Responsibilities

• Manage claim files with accuracy and conduct comprehensive reviews.
• Caseload management across multiple systems to make timely ERISA-based decisions.
• Prepare clear, concise written correspondence with claimants and policyholders.
• Coordinate with team members to balance workload efficiently.
• Perform related duties as assigned.

Skills

Disability claims

Prioritization

Multi-tasking

Communication skills

AI experience

Tools

Web-based systems

Job description

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 Opportunity

The Disability Appeal Specialist is responsible for reviewing denied claims and complete a fair, independent assessment and a thorough holistic review of the file and assessing the claim for accuracy by evaluating plan provisions and services rendered along with historical research.

You will follow State Regulations and ERISA guidelines when processing files. Keeping things timely to prevent risk.

This is an exciting opportunity to utilize investigative skills, analysis data for accuracy and make a difference by providing the right decision.

Success in this role requires attention to detail, ability to multi-task and engaging the right resources. The Disability Appeal Specialist is responsible for gather facts and data during the course of investigation for further consideration and follow ERISA guidelines.

You’ll collaborate closely with members of the Appeal team, your team lead, and claim resources in an environment where every contribution is respected, and every perspective is heard

Key Responsibilities

• Manage claim files with accuracy and conduct comprehensive review taking into consideration contract provisions, history of payment, plan limitations and clinical information with ability to research guidelines for accuracy.
• Caseload Management across multiple systems in orderto make timely decisions according to ERISA.
• Create and prepare clear and concise written correspondence where applicable with claimants, policyholders in a timely manner.
• Coordinate with other team members to move workload with a once and done concept.
• Perform related duties and task as assigned.

Required Qualifications

• The role is virtual, however, if candidate resides within commutable distance of an office, they will be required to come into the office once a month for team days
• 3-5 years Disability Claim Background with preference in appeal handling
• Prioritization Skills, Multi-tasking Skills, and attention to detail
• Builds and maintains strong relationships with direct team and other internal partners with excellent communication skills (oral and written) as well as willingness to accept change and provide constructive feedback where applicable
• Experience utilizing AI in a professional setting

Preferred Qualifications

• Ability to utilize and manage different web based systems.
• Understanding of Disability plans
• Ability to perform in a production environment.
• Team player

The expected salary rangefor this position is $64,500 - $67,000 . 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

Recognizedon Fortune magazine's list of the "World's Most Admired Companies",Fortune World’s 25 Best Workplaces™, as well as the Fortune 100 Best Companiesto Work For®, MetLife, through its subsidiaries and affiliates, is one of theworld’s leading financial services companies; providing insurance, annuities,employee benefits and asset management to individual and institutionalcustomers. With operations in more than 40 markets, we hold leading positionsin 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 purposeis simple - to help our colleagues, customers, communities, and the world atlarge create a more confident future. United by purpose and guided by our corevalues - Win Together, Do the Right Thing, Deliver Impact Over Activity, andThink Ahead - we’re inspired to transform the next century in financialservices. At MetLife, it’s #AllTogetherPossible . Join us!

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.

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.

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