• Absence Management Claim Specialist

    MetLife (Bloomfield, CT)


    TRAINING WILL BE IN THE BLOOMFIELD OFFICE FOR A MINIMUM OF 7-12 WEEKS

    ALL EMPLOYEES ARE REQUIRED TO COME INTO THE OFFICE ONCE A MONTH AFTER TRAINING.

    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 [email protected]. 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.