Bloomfield, CT, 06002, USA
10 days ago
AMS Claim Specialist
Location: Virtual but MUST be commutable distance from Bloomfield, CT TRAINING IS IN PERSON IN THE BLOOMFIELD OFFICE (12 WEEKS) 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 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. Essential Business Experience and Technical Skills: Required: · High school diploma · 2+ yrs. related experience and strong customer satisfaction focus and attention to detail Preferred: · Bachelor’s degree · Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave procedures preferred Business Category Operations - Claims Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace.
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