Absence Management Claim Specialist

About the position

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will provide exemplary customer service by managing total absence claims in a timely and accurate fashion. Location: Virtual (AFTER TRAINING. TRAINING IS IN PERSON) but must be commutable to Bloomfield, CT. TRAINING WILL BE IN THE BLOOMFIELD OFFICE FOR A MINIMUM OF 7-12 WEEKS. ALL EMPLOYEES ARE REQUIRED TO COME INTO THE OFFICE ONCE A MONTH AFTER TRAINING.

Responsibilities

• Handle, review, and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA 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 follow-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.

Requirements

• High school diploma
• 2+ yrs. related experience and strong customer satisfaction focus and attention to detail

Nice-to-haves

• Bachelor's degree
• Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave procedures preferred

Benefits

• Comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and 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.