Total Absence Management Claims Specialist

Job Title: Total Absence Management Claims Specialist

Job Location: Bloomfield, CT. Virtual Role with In-Person Training. All candidates must be within a commutable distance of our Bloomfield office.

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:

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

• Must be located within a commutable distance of where the role is posted.
• High school diploma or GED equivalent.
• 1-2 yrs. related experience in FMLA, Disability Leave or Insurance Claims.
• Demonstrated history of critical thinking involving insurance claims.
• Outstanding written and verbal communication skills.

Preferred:

• Bachelor’s degree or higher.
• Knowledge of system applications related to Disability & Leave Claims.

Business Category

Operations - Claims

Number of Openings

6

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 wage for applicants for this position is $45,000.00 per year. This role is also eligible for annual short-term incentive compensation. MetLife offers a comprehensive benefits program, including healthcare benefits, life insurance, retirement benefits, parental leave, legal plan services and paid time off. All incentives and benefits are subject to the applicable plan terms.