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Total Absence Management Case Specialist

Date Posted: Jan 11, 2019

Location: Tampa, FL, US, 33647

Company: MetLife

Job Location:     Tampa                                 

 

Role Value Proposition: 

 

Provides exemplary customer service by managing total absence claims in a timely and accurate fashion.  Administer Family & Medical Leave Act standalone claims. Adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures. Handle intake calls for FMLA claims and other leaves. Complete eligibility decisions during intake call, gather pertinent data when necessary from employee or other supporting systems. Promptly review new FLMA and other leave claims, evaluate against appropriate leave plans and make initial claim decision. 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. Performs other related duties as assigned or required.

 

Key Responsibilities:  (Limit 5 bullets)

 

  • Administer Family & Medical Leave Act standalone claims.
  • Adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures.
  • Handle intake calls for FMLA claims and other leaves.
  • Complete eligibility decisions during intake call, gather pertinent data when necessary from employee or other supporting systems.
  • Promptly review new FLMA and other leave claims, evaluate against appropriate leave plans and make initial claim decision and perform leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc.

 

Essential Business Experience and Technical Skills:

 

Required:

 

  • High School Diploma
  • 2-4 years of experience in claims or customer service.
  • Strong customer satisfaction focus.
  • Excellent written & verbal communication skills
  • Math aptitude required.

 

Preferred:

 

  • Working knowledge of FMLA/Disability/Leave procedures.
  • Familiarity with STD regulatory requirements.
  • Knowledge of system applications.

 

“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.”

 

 

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

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Requisition #: [[106731]] 


Nearest Major Market: Tampa