Absence Management Claim Specialist

Description and Requirements

Job Title

Absence Management Claim Specialist

Job Location

Virtual within a commutable distance of Oriskany / Central New York. New Hires must live within a commutable distance of Oriskany / Central NY.

Training

IN-PERSON TRAINING for up to 4 weeks, Monday through Friday, 8:00AM - 4:30 PM.

Key Responsibilities:

• Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc.
• 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:

• 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:

• 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.

At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.

The expected salary range for this position is 45,500 - 48,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.

Benefits We Offer

Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a 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, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more!

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies: providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.

Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!