Long Term Disability Appeal Specialist
Job details
- Work type
- Remote
- Compensation
- $64,500 - $67,000/yr
- Posted
- 2 weeks ago
- Apply on
- metlifecareers.com
About this role
Description and Requirements
Description and Requirements
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.
Description and Requirements
Description and Requirements
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
Description and Requirements
Description and Requirements
·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.
Description and Requirements
Description and Requirements
- The role is virtual, however, if candidate resides within commutable distance of an office, they will be required to come into the office once a month for team days
- 3-5 years Disability Claim Background with preference in appeal handling
- Prioritization Skills, Multi-tasking Skills, and attention to detail
- Builds and maintains strong relationships with direct team and other internal partners with excellent communication skills (oral and written) as well as willingness to accept change and provide constructive feedback where applicable
- Experience utilizing AI in a professional setting
Description and Requirements
Description and Requirements
- Ability to utilize and manage different web based systems.
- Understanding of Disability plans
- Ability to perform in a production environment.
- Team player
Description and Requirements
The expected salary range for this position is $64,500 - $67,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
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.
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in 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 purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!
MetLife maintains a drug-free workplace.