Job Overview
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Job Description
Absence Management Claim Specialist at MetLife
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.
Job Location
Virtual within a commutable distance of Oriskany / Central New York. New Hires must live within a commutable distance of Oriskany / Central NY.
Training
IN-PERSON TRAINING for up to 4 weeks, Monday through Friday, 8:00 AM - 4:30 PM.
Key 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.
Essential Business Experience and Technical Skills
- New hires should live a commutable distance from the site the role is posted in.
- 1+ years of experience in insurance (health, life, auto, home, etc.).
- Strong focus on customer satisfaction and attention to detail.
- Strong communication skills, both written and oral.
- High school diploma or GED equivalent.
- This role has mandatory paid training starting on May 4th lasting for up to 4 weeks. Candidates must be available and present for all training days.
Preferred Qualifications
- Bachelor’s degree or higher education.
- FMLA/ADA claims knowledge of process and procedures.
- Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.
About MetLife
MetLife is a leading global financial services company providing insurance, annuities, employee benefits, and asset management. Recognized on multiple prestigious lists such as Fortune magazine's "World's Most Admired Companies" and Fortune 100 Best Companies to Work For®, MetLife is dedicated to making a difference in the lives of its customers and communities worldwide.
Benefits We Offer
MetLife offers comprehensive benefits addressing holistic well-being, including medical, dental, and vision insurance, short- and long-term disability, company-paid life insurance, retirement pension, 401(k) with employer matching, parental leave, paid time off, and more.
Key skills/competency
- Absence Management
- Claim Specialist
- FMLA
- ADA
- Insurance
- Customer Service
- Regulatory Compliance
- Case Management
- Communication Skills
- Attention to Detail
How to Get Hired at MetLife
- Tailor your resume: Highlight your 1+ years of insurance experience and FMLA/ADA knowledge.
- Showcase customer focus: Emphasize your strong communication and attention to detail skills.
- Prepare for training: Be ready to commit to the mandatory 4-week in-person training.
- Address location needs: Clearly state your commutable distance to Oriskany / Central NY.
- Demonstrate critical thinking: Prepare examples of your analytical and problem-solving abilities.
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