AMS Claim Specialist job at MetLife United States, US

Job Description

Location: Fully Virtual Key Responsibilities: * Handle, review, and administer Family & Medical Leave Act standalone/ADA (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 * 1+ yrs. experience in Absence Management Claims, ADA, STD, AMS, FMLA, or LTD 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.

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