AMS Claim Specialist
MetLife
Location: Virtual (AFTER TRAINING. TRAINING IS IN PERSON) but must be commutable to Tampa, FL.
TRAINING WILL BE IN THE TAMPA OFFICE FOR A MINIMUM OF 7 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 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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