Total Absence Management Claim Specialist
Summary: MetLife is a leading financial services company recognized for its commitment to customer care and operational excellence. The Total Absence Management Claim Specialist role involves managing total absence claims, providing exemplary customer service, and ensuring compliance with relevant regulations. Responsibilities: - Handle, review, and administer Family & Medical Leave Act / and or Americans with Disabilities Act(ADA) claims and adhere to federal and state regulatory and/or company plan requirements. Establish FMLA/ADA workflow procedures and evaluate against appropriate leave plans and make initial claim decisions - Complete eligibility decisions during intake call, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc - Update systems to accurately reflect leave status and ensure appropriate diary documentation exists Required Qualifications: - High school diploma - 1+ yrs. related experience and strong customer satisfaction focus and attention to detail Preferred Qualifications: - Bachelor's degree - FMLA/ADA claims knowledge of process and procedures Required Skills: Family & Medical Leave Act (FMLA) claims processing, Americans with Disabilities Act (ADA) claims processing, Claims administration, Regulatory compliance for leave management, Customer satisfaction focus Benefits: Annual short-term incentive compensation, Stock-based long-term incentives, Comprehensive health plan that includes medical/prescription drug and vision, dental insurance, No-cost short- and long-term disability, Company-paid life insurance and legal services, 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, Employee Assistance Program (EAP) and digital mental health programs, Parental leave, Volunteer time off, Tuition assistance