Absence Management Claim Specialist

Summary: MetLife is one of the world’s leading financial services companies, providing insurance and employee benefits. The Absence Management Claim Specialist role entails managing total absence claims, ensuring timely and accurate customer service while adhering to federal and state 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: - 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 Required Skills: Insurance, Family, Medical Leave Act (FMLA) Claims, Americans with Disabilities Act (ADA) Claims, Claims Administration, Regulatory Compliance, Customer Service Benefits: Comprehensive health plan that includes medical/prescription drug and vision, Dental insurance, No-cost short- and long-term disability, Company-paid life insurance, Legal services, A retirement pension funded entirely by MetLife, 401(k) with employer matching, Group discounts on voluntary insurance products including auto and home, Pet, Critical illness, Hospital indemnity, Accident insurance, Employee Assistance Program (EAP), Digital mental health programs, Parental leave, Paid time off, Paid holidays, Volunteer time off, Tuition assistance