Lead and oversee end-to-end long-term disability claims operations, ensuring regulatory compliance, optimizing processes, managing risk and finances, and directing a team of claims professionals. Partner with cross-functional stakeholders, implement data-driven improvements, and deliver executive reporting to drive efficient, fair, and cost-effective claims outcomes.
Description and Requirements
Job Summary:
Director - Long-Term Disability (LTD) Claims is responsible for overseeing the end-to-end management of LTD claims, ensuring compliance with regulatory requirements, optimizing operational efficiency, and driving best-in-class claims outcomes. This role involves leading a team of claims professionals, developing policies and procedures, managing risk, and collaborating with internal and external stakeholders to enhance claims management processes. This role requires expertise in claims processing, team leadership, and project management to drive continuous improvements and optimize workflows.
Key Responsibilities:
1. Leadership & Team Management:
• Lead, mentor, and develop a team of LTD claims professionals, including, Managers, associate managers, and technical claims specialists.
• Foster a culture of continuous improvement, collaboration, and accountability.
• Provide strategic direction and guidance to ensure the team meets performance metrics and service level agreements.
2. Claims Management Oversight:
• Oversee the evaluation, adjudication, and resolution of LTD claims to ensure fair, accurate, and timely decisions.
• Ensure compliance with regulatory guidelines, insurance policies, and company procedures.
• Monitor claims trends, risk exposure, and potential fraud indicators.
3. Process Improvement & Operational Efficiency:
• Develop and implement best practices to improve claims processing efficiency and accuracy.
• Leverage data analytics and technology to enhance decision-making and claims outcomes.
• Identify and address operational bottlenecks to improve workflow and customer experience.
4. Regulatory & Compliance Management:
• Ensure adherence to federal, state, and local regulations (e.g., ERISA, ADA).
• Work closely with legal and compliance teams to mitigate risks and address regulatory concerns.
• Stay updated on industry changes and regulatory updates impacting LTD claims.
5. Stakeholder Collaboration & Communication:
• Partner with underwriting, legal, actuarial, and customer service teams to ensure alignment on claims strategies.
• Engage with external vendors, medical professionals, and policyholders to facilitate claim resolutions.
• Provide executive leadership with reports on claims performance, trends, and strategic initiatives.
6. Financial & Risk Management:
• Ensure accurate claim payments and decisional forecasting.
• Develop risk mitigation strategies to control claims costs and reduce unnecessary payouts.
Qualifications & Experience:
• Bachelor's degree in Business, Insurance, Risk Management, or a related field (Master's preferred).
• 8-10+ years of experience in disability claims management, with at least 5 years in leadership roles.
• Strong knowledge of LTD policies, claims processing, and industry regulations.
• Experience with claims management systems and data analytics tools.
• Project management experience required; PMP certification or Six Sigma a plus.
• Excellent leadership, decision-making, and communication skills.
• Ability to drive process improvements and manage change effectively.
The expected salary range for this position is $102,000 - $170,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits We Offer
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, volunteer time off, tuition assistance and much more!
About MetLife
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.
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 is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
If you need an accommodation due to a disability, please email us at [email protected]. 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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$102,000 - $170,000
Job Summary:
Director - Long-Term Disability (LTD) Claims is responsible for overseeing the end-to-end management of LTD claims, ensuring compliance with regulatory requirements, optimizing operational efficiency, and driving best-in-class claims outcomes. This role involves leading a team of claims professionals, developing policies and procedures, managing risk, and collaborating with internal and external stakeholders to enhance claims management processes. This role requires expertise in claims processing, team leadership, and project management to drive continuous improvements and optimize workflows.
Key Responsibilities:
1. Leadership & Team Management:
• Lead, mentor, and develop a team of LTD claims professionals, including, Managers, associate managers, and technical claims specialists.
• Foster a culture of continuous improvement, collaboration, and accountability.
• Provide strategic direction and guidance to ensure the team meets performance metrics and service level agreements.
2. Claims Management Oversight:
• Oversee the evaluation, adjudication, and resolution of LTD claims to ensure fair, accurate, and timely decisions.
• Ensure compliance with regulatory guidelines, insurance policies, and company procedures.
• Monitor claims trends, risk exposure, and potential fraud indicators.
3. Process Improvement & Operational Efficiency:
• Develop and implement best practices to improve claims processing efficiency and accuracy.
• Leverage data analytics and technology to enhance decision-making and claims outcomes.
• Identify and address operational bottlenecks to improve workflow and customer experience.
4. Regulatory & Compliance Management:
• Ensure adherence to federal, state, and local regulations (e.g., ERISA, ADA).
• Work closely with legal and compliance teams to mitigate risks and address regulatory concerns.
• Stay updated on industry changes and regulatory updates impacting LTD claims.
5. Stakeholder Collaboration & Communication:
• Partner with underwriting, legal, actuarial, and customer service teams to ensure alignment on claims strategies.
• Engage with external vendors, medical professionals, and policyholders to facilitate claim resolutions.
• Provide executive leadership with reports on claims performance, trends, and strategic initiatives.
6. Financial & Risk Management:
• Ensure accurate claim payments and decisional forecasting.
• Develop risk mitigation strategies to control claims costs and reduce unnecessary payouts.
Qualifications & Experience:
• Bachelor's degree in Business, Insurance, Risk Management, or a related field (Master's preferred).
• 8-10+ years of experience in disability claims management, with at least 5 years in leadership roles.
• Strong knowledge of LTD policies, claims processing, and industry regulations.
• Experience with claims management systems and data analytics tools.
• Project management experience required; PMP certification or Six Sigma a plus.
• Excellent leadership, decision-making, and communication skills.
• Ability to drive process improvements and manage change effectively.
The expected salary range for this position is $102,000 - $170,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits We Offer
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, volunteer time off, tuition assistance and much more!
About MetLife
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.
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 is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
If you need an accommodation due to a disability, please email us at [email protected]. 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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$102,000 - $170,000
Top Skills
Claims Management Systems
Data Analytics Tools
Pmp
Six Sigma
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