MetLife

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.

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Specialist II is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.

• Virtual roles predominantly work from a home office with periodic visits to the assigned office as needed for team events, meetings, training, business continuity, etc.
• Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators. 
• Provides timely, balanced and accurate claim reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state department and department of insurance regulations. 
• Develop action plans and identify return to work potential.

• Live a commutable distance from the San Juan, Puerto Rico site.
• Bilingual Proficiency in English and Spanish, both written and verbal.
• High school diploma.
• Minimum 1 year of Disability Insurance Claims experience.
• Prior experience with independent judgement and decision making while relying on the available facts.

• Be able to demonstrate the use of critical thinking and analysis when reviewing the information.
• Excellent interpersonal and communication skills in both verbal and written form.
• Excellent customer service skills proven through internal and external customer interactions.

The expected salary range for this position is $41,600 - $62,500. 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.