Senior LTD Reassessment Claims Lead

MetLif; United States; Remote; USD 64,000 - 80,000; Full time

Benefits offered by this job

Health plan

Life insurance

401(k) with employer matching

Paid time off

Job summary

MetLife is seeking a Lead SHU Reassessment Claims Specialist to independently manage the most complex long‑term disability claims in the U.S. LTD group, offering technical expertise, coaching, and leadership support.

You will mentor associates, partner with leaders on quality and customer experience initiatives, and ensure timely, balanced claim outcomes while complying with regulations.

Qualifications

• 5+ years of LTD/IDI Insurance Claims experience.
• Excellent customer service skills demonstrated through interactions with customers and stakeholders.

Responsibilities

• Independently manage the most complex claims within a fast‑paced environment, providing timely and accurate reviews and decisions.
• Calculate monthly benefits after the elimination period, including COLA, Social Security offsets, and Rehab Return to Work benefits.
• Collaborate with physicians, attorneys, and CPAs to gather data for thorough claim determinations.
• Clarify and resolve inconsistencies in information and refer matters to appeals or litigation support as needed.
• Support leadership with onboarding, coaching, and development, and provide feedback on team performance.

Skills

LTD/IDI Claims

Education

Bachelor’s degree

Job description

MetLife is seeking a Lead SHU Reassessment Claims Specialist to independently manage the most complex long‑term disability claims in the U.S. LTD group, offering technical expertise, coaching, and leadership support.

You will mentor associates, partner with leaders on quality and customer experience initiatives, and ensure timely, balanced claim outcomes while complying with regulations.