Long Term Disability Claims Specialist I

MetLife; San Juan (PR); Presencial; USD 45 000 - 65 000; Tempo integral

Resumo da oferta

MetLife's Global Customer Service and Operations team seeks a Long-Term Disability Claims Specialist I to evaluate claims, gather medical information, and render timely decisions in line with plan provisions. You will build strong claim evaluation, customer communication, and critical thinking skills in a fast-paced environment with growth opportunities toward a Specialist II role.

Join a collaborative team that supports customers during important moments and drives operational excellence across

Qualificações

• High School Diploma required; ability to start December 14, 2026.
• Must be able to work within commutable distance to the posted site.
• Experience in customer service or claims support is preferred.

Responsabilidades

• Evaluate long-term disability claims using medical, occupational, and financial information.
• Create clear, accurate documentation and timely claim decisions aligned with plan provisions.
• Oversee an assigned caseload with proactive follow-up and priority management.
• Maintain proactive communication with claimants, representatives, customers, attorneys, and involved parties.
• Coordinate with physicians, attorneys, and consultants to obtain needed information.

Conhecimentos

Customer service

Claims processing

Critical thinking

Communication

Formação académica

High School Diploma

Descrição da oferta de emprego

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 Long-Term Disability Claims Specialist I is responsible for evaluating long term disability claims, gathering and analyzing medical, and delivering timely claim decisions in accordance with plan provisions, and service standards across the United States. Guided by our purpose – always with you building a more confident future – and our New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to make a meaningful impact for customers during important moments in their lives. In this role, you will develop strong claim evaluation, customer communication, and critical thinking skills while working in a fast-paced environment that offers growth, increasing decision-making authority, and progression toward a Long-Term Disability Claims Specialist II role.

Key Responsibilities

• Lead thorough and balanced disability claim evaluations by gathering, reviewing, and interpreting medical, occupational, financial, and other relevant information to support sound claim decisions.
• Create clear, accurate, and timely claim documentation, correspondence, and recommended decisions that align with plan provisions, service expectations, and regulatory requirements.
• Oversee an assigned caseload of pending and active disability claims, ensuring timely follow-up, consistent progress, and effective management of priorities in a fast-paced environment.
• Manage proactive communication with claimants, representatives, customers, attorneys, brokers, and family members by providing updates, explaining claim decisions, and gathering critical claim information.
• Develop action plans, identify return-to-work potential, and address inconsistencies or escalated issues by applying critical thinking and appropriate claim resolution strategies.
• Coordinate with internal and external resources, including physicians, attorneys, and clinical or vocational consultants, to obtain information needed for thorough, reasonable, and well-supported claim decisions.

Required Qualifications

• High School Diploma and the ability to start working on December 14th, 2026, and the ability work within a commutable distance of the posted site to support effective onboarding, training, and role readiness.
  • Office locations: Cary NC, Tampa FL, Bloomfield CT, Oriskany NY, Aurora IL, or San Juan PR
• Customer service and claim support experience with