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AMS Claim Specialist at MetLife

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Salary: 
45 - 77K yearly
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

High school diploma required, 2+ years related experience, Strong customer satisfaction focus, Attention to detail, Preferred: Bachelor's degree.

Key responsabilities:

  • Handle Family Medical Leave Act claims
  • Evaluate leave plans and make claim decisions
  • Complete eligibility during intake calls
  • Update systems to reflect leave status
  • Perform leave follow-ups and recertification
MetLife  logo
MetLife Insurance XLarge https://www.metlife.com/
10001 Employees
See more MetLife offers

Job description

Requirements

Description and Requirements

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 processing group disability claims in a timely and accurate fashion.

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

The salary range for applicants for this position is $45,450.00.

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, volunteer time off, tuition assistance and much more!

About MetLife

Recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies" as well as the 2024 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 empathy, we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible . Join us!

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.

$45,450.00

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
Check out the description to know which languages are mandatory.

Other Skills

  • Detail Oriented
  • Problem Solving
  • Customer Service
  • Verbal Communication Skills

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