TAM Claim Specialist - 16403

Role Value Proposition: 

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.

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:

Required:

·         High school diploma

·         1 yrs. related experience and strong customer satisfaction focus and attention to detail

Preferred:

·         Bachelor’s degree

•  FMLA/ADA claims knowledge of process and procedures.