[Remote] Total Absence Management Claim Specialist

Note: The job is a remote job and is open to candidates in USA. MetLife is a leading financial services company providing insurance and employee benefits. The Total Absence Management Claim Specialist will deliver exemplary customer service by managing total absence claims accurately and efficiently.

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

Skills

• High school diploma
• One year of experience in Absence Management Claims
• Experience and strong customer satisfaction focus and attention to detail. A strong understanding of the ADA/AMS process and background as to what's required
• Strong customer service skills are a must
• Bachelor's degree
• Three to five years of FMLA/ADA claims knowledge of process and procedures

Benefits

• Annual short-term incentive compensation and stock-based long-term incentives
• Programs for physical and mental health, financial wellness, and support for families
• 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
• Paid time off
• Paid holidays
• Volunteer time off
• Tuition assistance

Company Overview

We live in a time of unprecedented change. A time when economies, regulations, and social safety nets are all in flux. It was founded in 2005, and is headquartered in Amsterdam, Noord-Holland, NLD, with a workforce of 10001+ employees. Its website is https://guidion.com.