Lead Long Term Disability Claims Specialist

MetLife Inc

NY

JOB DETAILS
SALARY
$64,000–$80,000 Per Year
SKILLS
Brokerage, Certified Public Accountant (CPA), Coaching, Communication Skills, Continuous Improvement, Customer Escalations, Customer Experience, Customer Relations, Customer Service Operations, Customer Support/Service, Documentation, ERISA (Employee Retirement Income Security Act of 1974), Emerging Technology, FMLA (Family and Medical Leave Act of 1993), Financial Policies, Financial Services, Insurance Claims, Legal Support Skills, Mentoring, Onboarding, Organizational Skills, Process Improvement, Regulatory Requirements, State Laws and Regulations, Support Documentation, Team Player, Time Management, Worker's Compensation
LOCATION
NY
POSTED
24 days ago

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n Working Schedulen

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n Work Arrangementn

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n Virtualn

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n Relocation Assistance Availablen

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n Non

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n Posted Daten

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n 11-May-2026n

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n Job IDn

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n 17346n

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n n Description and Requirementsn

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The Team You Will Join

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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.

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The Opportunity

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The Lead LTD Claims Specialist is responsible for independently managing the most complex long‑term disability (LTD) claims in alignment with plan provisions, regulatory requirements, and service standards across the Long‑Term Disability function in the United States. This role is critical to MetLife's purpose by ensuring accurate, well‑documented claim decisions while delivering a high‑quality customer experience for claimants, partners, and stakeholders. This is an exciting opportunity to serve as a technical expert and emerging leader, influence claim quality and outcomes, and mentor others while contributing to continuous improvement initiatives.

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Key Responsibilities

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  • Lead the management of the most complex long‑term disability (LTD) claims by exercising independent judgment to ensure accurate, timely, and compliant claim decisions.
  • Create thorough claim documentation and correspondence by analyzing medical, occupational, financial, and policy information to support well‑documented determinations.
  • Oversee claim evaluations by identifying and reconciling inconsistencies, leveraging Fraud, Waste and Abuse resources, and resolving escalated customer concerns while referring matters to appeals, complaints, or litigation support as needed.
  • Manage communication with claimants, customers, providers, attorneys, brokers, and family members by delivering clear, timely updates on claim status, determinations, and complex benefit calculations.
  • Develop associate capability and claim quality by supporting onboarding, coaching, mentoring, and participating in projects that drive continuous improvement and enhance the customer experience.
  • Coordinate with internal and external partners, including physicians, attorneys, vocational consultants, and CPAs, to obtain and evaluate information required for thorough and defensible claim decisions.

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Required Qualifications

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  • 5+ years of LTD/IDI insurance claims experience.
  • Demonstrated customer service skills through internal and external customer interactions.
  • Experience applying independent judgment and making well-reasoned decisions based on available facts.
  • Strong problem-solving and critical-thinking skills.
  • Proficiency working across multiple systems and technology resources in a fast-paced environment.
  • Strong organizational and time-management skills.

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Preferred Qualifications

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  • Bachelor's degree; and knowledge of STD/FMLA, state leave laws, workers' compensation, ERISA

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The expected salary range for this position is $64,000 - $80,000. This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms.

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n Benefits We Offer

nOur 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!

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About MetLife

Recognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. With operations in more than 40 markets, we hold leading positionsnin the United States, Latin America, Asia, Europe, and the Middle East.

Our purposenis simple - to help our colleagues, customers, communities, and the world atnlarge create a more confident future. United by purpose and guided by our corenvalues - Win Together, Do the Right Thing, Deliver Impact Over Activity, andnThink Ahead - we're inspired to transform the next century in financialnservices. At MetLife, it's #AllTogetherPossible. Join us!

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nMetLife 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 accommodations@metlife.com. 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.

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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.

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About the Company

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MetLife Inc