Pet Claims Adjuster job at MetLife in US National

Pet Claims Adjuster Working Schedule Full-Time Work Arrangement Virtual Relocation Assistance Available No Job ID 17484 Description and Requirements The Team You Will Join Join the nation’s largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife’s Group Benefits team, you’ll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today’s employers and workforces. Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most. The Opportunity Start Date: July 27, 2026 Training: The first 6 weeks; Monday – Friday: 8 – 4:30pm EST Shift Details: Tuesdays & Wednesdays OR Wednesdays & Thursdays off. Must work every weekend, Saturday and Sunday. Shift times are 7 – 3:30pm EST, 8 – 4:30pm EST, 9 – 5:30pm EST or 10 – 6:30pm EST Candidates within 50 miles of a MetLife office are required to attend in-office once per month. The Pet Claims Adjuster is responsible for reviewing and processing pet health insurance claims by analyzing medical records, invoices, and policy details to ensure accurate and fair claim adjudication. This role supports timely reimbursement, enhances the customer experience, and ensures compliance with policy terms and organizational standards. Guided by our purpose – always with you, building a more confident future – this position offers an opportunity to play a critical role in supporting pet owners during important moments. You will leverage your veterinary knowledge and analytical skills to deliver high-quality claim outcomes, collaborate with veterinary professionals, and contribute to a seamless and compassionate claims experience.

Key Responsibilities

• Review and adjudicate pet health insurance claims, applying policy terms including deductibles, co-pays, co-insurance, and reimbursement limits.
• Communicate with insureds, veterinarians, and adoption agencies to request, verify, and clarify medical documentation required for claim processing.
• Manage workflow queues to complete claim entry, pre-adjudication, documentation requests, claim closures, and appeals efficiently.
• Document interactions and resolve issues, providing updates and clear explanations of claim status and outcomes to customers.
• Prepare reports and process incoming documentation, ensuring accuracy, compliance, and timely handling of all assigned tasks.

Required Qualifications

• High school diploma or equivalent, with demonstrated ability to review and process detailed documentation accurately.
• 3+ years of veterinary medical experience with strong knowledge of veterinary medical terminology and its application in claim evaluation.
• Proven ability to follow corporate policies, procedures, and compliance guidelines in a regulated environment.
• Excellent communication, organization, and follow-up skills, with a focus on customer service and relationship management.
• Reliable attendance and ability to manage workload in a structured, deadline-driven environment.
• Ability to obtain and successfully pass the home state Property & Casualty (P&C) insurance license within 90 days of employment start date (maximum of 3 attempts permitted).

Preferred Qualifications

• Veterinary Technician license or equivalent veterinary medical experience.
• Experience working in a fast-paced, multi-tasking environment with high attention to detail.
• Proficiency in Microsoft Office tools (Word, Outlook, Excel) and ability to learn proprietary systems quickly.
• Strong problem-solving skills with the ability to research and resolve issues independently.
• Professional, articulate communication style with a customer-first mindset.

The expected salary range for this position is $41,600. This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. 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 indemn