Lead and administer standalone ADA claims and absence management. Make eligibility and entitlement decisions, gather supporting documentation, perform leave administration tasks (recertification, intermittent tracking, RTW confirmation), update systems and documentation, meet TAT compliance, and coordinate with claims specialists, QA, supervisors, employers, and physician offices.
Description and Requirements
Administer ADA (Americans with Disability Act) standalone claims
Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems.
Promptly review new ADA, evaluate against appropriate leave plans and make initial claim decision.
Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc.
Update systems to accurately reflect leave status and ensure appropriate diary documentation exists
Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures
The position is expected to do absence management and adjudication on Federal, State and company leaves.
Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physician's office
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, 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.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
Administer ADA (Americans with Disability Act) standalone claims
Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems.
Promptly review new ADA, evaluate against appropriate leave plans and make initial claim decision.
Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc.
Update systems to accurately reflect leave status and ensure appropriate diary documentation exists
Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures
The position is expected to do absence management and adjudication on Federal, State and company leaves.
Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physician's office
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, 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.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
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Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Lead administration of ADA claims and absence management: determine eligibility, adjudicate claims against leave plans, gather supporting data, perform recertifications and intermittent tracking, confirm returns-to-work, update systems, and meet turnaround targets while managing federal, state, and company leave requirements.
Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Lead ADA claims administration and absence management: evaluate eligibility, make initial claim decisions, manage recertification and intermittent tracking, confirm return-to-work, update systems and documentation, meet TATs, and coordinate with claim specialists, QA, supervisors, employees, employers, and healthcare providers across federal, state, and company leave programs.
Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Lead ADA claim administration and absence management. Make eligibility and entitlement decisions, manage leave tasks (recertification, intermittent tracking, RTW), update systems and documentation, and coordinate with claim specialists, QA, supervisors, employees, employers, and physician offices to maintain compliance and timeliness.
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