Senior Long Term Disability Claims Specialist

MetLife; United States; Remote; USD 41,000 - 69,000; Full time

Job summary

An established industry player is seeking a Senior Long Term Disability Claims Specialist to join their dynamic team. This role involves evaluating long-term disability insurance claims with precision and care, ensuring compliance with regulations while delivering outstanding customer service. You will manage a caseload of moderately complex claims, utilizing your critical thinking and problem-solving skills to make informed decisions. As a fully virtual position, you will enjoy the flexibility of working from anywhere while contributing to a company recognized for its commitment to excellence and innovation in the insurance sector.

Benefits

Health insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

Retirement plans

Qualifications

• 3+ years of LTD insurance claims experience required.
• Strong problem-solving, critical thinking, and communication skills needed.

Responsibilities

• Review and process claims accurately and timely.
• Communicate effectively with claimants and stakeholders.
• Gather and analyze documentation for claims decisions.

Skills

Problem-solving skills

Critical thinking

Decision-making abilities

Verbal communication

Written communication

Customer service experience

Education

Bachelor’s degree

Job description

Senior Long Term Disability Claims Specialist

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Job Overview

The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. This role requires exercising independent judgment, critical thinking, and providing exemplary customer service while managing a caseload of moderately complex claims.

Responsibilities

1. Review and process claims accurately and timely, ensuring compliance with regulations.
2. Communicate effectively with claimants, healthcare providers, attorneys, and other stakeholders, resolving escalated issues promptly.
3. Gather and analyze documentation to make informed claims decisions, collaborating with external and internal resources.
4. Calculate benefits, including COLA, Social Security offsets, and other payments, ensuring accuracy and compliance.

Minimum Qualifications

• 3+ years of LTD insurance claims experience.
• Strong problem-solving skills, critical thinking, and decision-making abilities.
• Excellent verbal and written communication skills and customer service experience.

Preferred Qualifications

• Bachelor’s degree and knowledge of STD/FML, state leave laws, workers’ compensation, ERISA, and Social Security.

Additional Details

Location: 100% Virtual

Salary Range: $41,600 - $68,100

Benefits include health, dental, vision, disability, life insurance, retirement plans, and more.

About MetLife

MetLife is a leading global provider of insurance, employee benefits, and asset management, recognized for its workplace excellence and commitment to creating a confident future for its customers and employees.