Job Description

Opportunity The Lead Bridge Claim Specialist is responsible for providing technical assistance and coaching to disability claims professionals. Guided by our purpose - always with you building a more confident future - and our [1] New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to partner with the LTD Unit Leader to ensure that individual team members and the team meet all key performance indicators. The STD/LTD Bridge Team Technical Claim Specialist acts as a resource for any claim-related and technical issues as an individual contributor. Key Responsibilities Lead complex disability claim adjudication across the STD‑to‑LTD transition by applying contractual provisions, regulatory requirements, and sound judgment to ensure accurate liability decisions while supporting appropriate return‑to‑work outcomes. Create clear, thorough claim documentation, correspondence, and action plans that synthesize medical, vocational, and non‑medical information to support well‑reasoned, compliant, and defensible claim determinations. Oversee high‑quality, timely claim reviews and evaluations in a fast‑paced environment, ensuring alignment with plan provisions, state and Department of Insurance regulations, and MetLife quality and customer service standards. Manage the most complex assigned caseload independently, delivering consistent results through effective prioritization, proactive claimant engagement, and accountability for end‑to‑end claim outcomes in a virtual work environment. Develop return‑to‑work opportunities by assessing functional capacity, medical and non‑medical barriers, and prognosis, building individualized strategies that leverage claimant capabilities within the terms of the disability contract. Coordinate across internal and external partners—including claimants, physicians, attorneys, clinical and vocational consultants, Fraud, Waste and Abuse resources, Unit Leaders, and leadership teams—to clarify inconsistencies, support investigations, mentor new hires, and contribute to team performance, quality improvement, and talent development initiatives. Required Qualifications 5+ years of STD/LTD Insurance Claims experience with excellent customer service skills proven through internal and external customer interactions and prior experience with independent judgement and decision making while relying on the available facts/problem solving/critical thinking while having the ability to effectively manage multiple systems and technology resources/Organizational and time management skills. Excellent interpersonal and communication skills in both verbal and written form Excellent customer service skills proven through internal and external customer interactions Preferred Qualifications College or University degree. Call center experience in an insurance setting Ability to give and receive feedback to/from partners Equal Employment Opportunity/Disability/Veterans 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. #J-18808-Ljbffr

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