[Remote] Disability Bridge Claims Specialist

Note: The job is a remote job and is open to candidates in USA. MetLife is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits, and asset management. The Bridge Claims Specialist is responsible for managing the transition of claimants from Short Term Disability to Long Term Disability, ensuring effective communication and timely claim decisions while maintaining compliance with regulations.

Responsibilities

• Lead end‑to‑end disability claim evaluations by applying contractual provisions accurately, encouraging return to work where appropriate, and driving timely, well‑reasoned claim decisions in a fast‑paced environment with minimal oversight
• Create comprehensive action plans and clear written communications that document claim status, evaluations, and determinations, ensuring accuracy, regulatory compliance, and transparency throughout the life of each claim
• Oversee thorough and balanced claims reviews, including pending, active, and bridge‑related claims, ensuring documentation, analysis, and decisions align with plan provisions and applicable regulations
• Manage an assigned caseload independently while delivering a high level of service through proactive claimant communication, follow‑through on commitments, timely responses, and clear explanations of benefits and processes
• Develop return‑to‑work potential by assessing medical and non‑medical barriers, functional capacity, and prognosis, leveraging claimant interviews and medical evidence to support appropriate recovery and transition strategies
• Coordinate with internal and external stakeholders—including physicians, attorneys, vocational and clinical consultants, and business partners—to gather, clarify, and reconcile information, proactively update key partners, and ensure well‑supported claim outcomes

Skills

• High school diploma (or GED equivalent)
• 1–2 years of customer service experience
• Prior experience with independent judgement and decision making while relying on the available facts
• 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
• Organizational and time management skills; ability to balance quantity and quality
• Call center experience in an insurance setting
• Prior experience with STD and LTD
• Ability to give and receive feedback to/from partners
• College or University degree

Benefits

• Comprehensive health plan that includes medical/prescription drug and vision
• Dental insurance
• No-cost short- and long-term disability
• Company-paid life insurance
• Legal services
• Retirement pension funded entirely by MetLife
• 401(k) with employer matching
• Group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance
• Employee Assistance Program (EAP)
• Digital mental health programs
• Parental leave
• Paid time off
• Paid holidays
• Volunteer time off
• Tuition assistance

Company Overview