Senior Short-Term Disability Claim Specialist

Claim owner and decision-maker. Responsible for administering claims within contractual provisions and internal /external guidelines. Establishes a relationship with claimants in order to understand their perspective on their disability. Using that perspective and other information, identifies the claimant’s functional capacity and leverages that capacity within the context of the contract to support and encourage return to work as appropriate.

Senior Short-Term Disability Claim Specialist

Virtual within a commutable distance of Omaha, NE. New hires must live within a commutable distance of Omaha, NE.

IN-PERSON TRAINING for up to 7 weeks.

• Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc.
• Applies all appropriate provisions of the disability contract to ensure that Met Life’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.
• Executes individual claim action plans, serves as point of contact for the claimant, and makes claim decisions.
• Manages overall block of assigned claims, including prioritizing actions, appropriately utilizing resources, and timely and accurate decision.
• Provides a high-level of service to the claimant, including delivering on commitments, timely return of phone calls, and clear communication.
• Proactively updates partners that may be working with the claimant when key events are being considered or have occurred. (closure, RTW, etc.).

• New hires should live a commutable distance from the site the role is posted in.
• 1+ years of experience in Absence Management handling short-term or long-term disability claims.
• A comprehensive understanding of the disability contractual provisions, especially the definition of disability.
• Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim.
• Basic knowledge of medical conditions, treatments, prognosis.
• Critical-thinking skills.
• Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy.
• High School Diploma or GED Equivalent.
• This role has mandatory paid training starting on April 13th. Candidates must be available and present for all training days.

• Absence Management including FMLA or PFML.
• Ability to give and receive feedback to/from partners.
• Prioritization skills. Ability to balance quantity and quality.
• College or University Degree.

At Met Life, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.

The expected salary range for this position is 50,000 to 53,000. 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 Met Life and 401(k) with employer matching, group discounts on voluntary insurance…