Short Term Disability Claims Specialist

MetLif; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

Health plan

Life insurance

401(k) with employer match

Paid time off

Job summary

MetLife is seeking a Short Term Disability Claim Specialist to review medical documentation, communicate with claimants by phone, and manage a caseload to determine claim payable. You will apply disability policy provisions, coordinate with specialists, and drive efficient claim resolution using AI tools where appropriate.

The role emphasizes accuracy, clear communication, and proactive collaboration across teams to support return-to-work goals and customer care.

Qualifications

• Review disability claims and medical documentation for payability.
• Communicate with claimants to manage expectations and status.
• Apply policy provisions to determine liability and return-to-work options.
• Leverage AI tools to improve speed, quality and efficiency.

Responsibilities

• Apply disability contract provisions to ensure appropriate liability.
• Proactively update claimants and coordinate with resources.
• Maintain a well-structured plan for each claim and document decisions.
• Manage a block of claims with timely, accurate actions and contact with claimants.
• Deliver high-quality service with timely calls and clear communication.

Skills

Disability insurance

Written communication

Verbal communication

AI in day-to-day tasks

Education

High School Diploma

Associate Degree

Tools

MDG

DPA

Intellis

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 Short Term Disability Claim Specialist will be responsible for reviewing and assessment Disabilities claim come in for our customers. You will be reviewing medical documentation, on the phone with claimants/customers, and managing a caseload to ensure proper management of our procedures and policies to determine if a claim is payable. You will be responsible for ensuring excellent communication, show critical thinking skills, and make over determinations on claims that are submitted for various medical conditions.

Key Responsibilities

• Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liability, encourage and support return to work through a variety of programs and methodologies.
• Proactively communicates with the claimant to set expectations, assess medical and non-medical barriers to return to work, and keep him or her fully aware of the status of the claim, including setting expectations with the claimant if other resources (Voc, etc.) will be contacting him/her.
• Partners with the claimant, specialty resources, and more experienced resources to ensure that each claim has a well-understood plan that is appropriate for the unique situation of each claimant, his or her functional capacity and the prognosis for an increase in that capacity. Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).
• Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision. Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
• Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.

Required Qualifications

• High School Diploma.
• Disability insurance, written communication, and verbal communication.
• Ability to use AI to improve speed, quality, and efficiency across a broad range of day-to-day tasks.

Preferred Qualifications

• Associate Degree
• 2plus years of claims management experience preferably in Healthcare field
• Proficient in Microsoft Word/Excel
• Expertise knowledge of system and tools,ie…MDG, DPA,Intellis and how to leverage tools to improve claim management effectiveness

The expected salary range for this position is $40,000 - $52,000. 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.