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MetLife AMS Claim Specialist in Oriskany, New York

Location: Virtual (AFTER TRAINING. TRAINING IS IN PERSON) but must be commutable to Oriskany, NY.

TRAINING WILL BE IN THE ORISKANY 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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