MetLife

Join MetLife’s Global Technology and Operations (GTO) team, where what you build truly matters. Here, innovation and collaboration drive everything we do— from developing best-in-class digital solutions to safeguarding customer and employee data. Whether you're transforming insights into customer-first strategies, advocating for people in life’s most important moments, or simplifying how we serve millions worldwide, your expertise makes a lasting impact. We bring MetLife’s purpose to life, shaping a more confident future. Let’s build it together.

The Disability Appeal Specialist is responsible for reviewing denied claims and complete a fair, independent assessment and a thorough holistic review of the file and assessing the claim for accuracy by evaluating plan provisions and services rendered along with historical research.

You will follow State Regulations and ERISA guidelines when processing files.  Keeping things timely to prevent risk. 

This is an exciting opportunity to utilize investigative skills, analysis data for accuracy and make a difference by providing the right decision.

Success in this role requires attention to detail, ability to multi-task and engaging the right resources. The Disability Appeal Specialist is responsible for gather facts and data during the course of investigation for further consideration and follow ERISA guidelines. 

You’ll collaborate closely with members of the Appeal team, your team lead, and claim resources in an environment where every contribution is respected, and every perspective is heard.

·       Manage claim files with accuracy and conduct comprehensive review taking into consideration contract provisions, history of payment, plan limitations and clinical information with ability to research guidelines for accuracy.

·       Caseload Management across multiple systems in order to make timely decisions according to ERISA.

·       Create and prepare clear and concise written correspondence where applicable with claimants, policyholders in a timely manner.

·       Coordinate with other team members to move workload with a once and done concept. 

·       Perform related duties and task as assigned. 

·       3-5 years Disability Claim Background with preference in appeal handling

·       Excellent Communication Skills (oral and written)

·       Prioritization Skills

·       Multi-tasking Skills

·       Builds and maintains strong relationships with direct team and other internal partners

·       Attention to detail

·       Willingness to accept change and provide constructive feedback where applicable. 

·       3-5 years Disability Claim and Appeal Processing

·       Ability to utilize and manage different web based systems.

·       Understanding of Disability plans

·       Ability to perform in a production environment.

·       Team player

The expected salary range for this position is $47,000 - $80,169. 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.