[Remote] TAM Claim Specialist
Note: The job is a remote job and is open to candidates in USA. MetLife is one of the world’s leading financial services companies, providing insurance and employee benefits. The TAM Claim Specialist role involves managing total absence claims, ensuring compliance with FMLA/ADA regulations, and delivering exceptional customer service.
Responsibilities
- Handle, review, and administer Family & Medical Leave Act / and or Americans with Disabilities Act(ADA) claims and adhere to federal and state regulatory and/or company plan requirements
- Establish FMLA/ADA 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-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
Skills
- High school diploma
- 1+ yrs. related experience
- Strong customer satisfaction focus
- Attention to detail
- Bachelor's degree
- FMLA/ADA claims knowledge of process and procedures
Benefits
- Comprehensive health plan that includes medical/prescription drug and vision
- Dental insurance
- No-cost short- and long-term disability
- Company-paid life insurance
- Legal services
- A retirement pension funded entirely by MetLife
- 401(k) with employer matching
- Group discounts on voluntary insurance products including auto and home
- Pet
- Critical illness
- Hospital indemnity
- Accident insurance
- Employee Assistance Program (EAP)
- Digital mental health programs
- Parental leave
- Volunteer time off
- Tuition assistance
Company Overview