Absence Management Claim Specialist

MetLife is a leading global financial services company providing insurance, employee benefits, and asset management. The Absence Management Claim Specialist manages employee leave claims (e.g., FMLA/ADA) to deliver timely, accurate decisions and exemplary customer service while adhering to regulatory and plan requirements.

• Handle, review, and administer FMLA standalone/ADA and other leave claims in compliance with federal/state regulations and company plan requirements.
• Evaluate claims against appropriate leave plans and make initial claim decisions following established workflows.
• Complete eligibility decisions during intake calls and gather pertinent information from employees and supporting systems.
• Perform required follow-ups, including health-condition recertification, intermittent leave tracking, and return-to-work (RTW) confirmation.
• Update systems to accurately reflect leave status and ensure complete diary/documentation notes.

• High school diploma or GED.
• 1–2 years of related experience with a strong customer satisfaction focus and attention to detail.
• Strong written and verbal communication skills.
• Demonstrated critical thinking in activities involving analysis, investigation, and/or planning.
• Strong letter-writing skills and proficiency with Microsoft Word.

• Preferred:

  • Bachelor’s degree.
  • 1–2 years of experience managing ADA, FMLA, or absence management.
  • Knowledge of system applications and disability claims; working knowledge of FMLA/disability/leave procedures.
  • 1+ year of experience with one or more state and federal leave laws.

• Location: Virtual (US-based).
• Schedule: Pacific or Mountain Time Zone hours.
• Compensation: Eligible for annual short-term incentive compensation (per plan terms).
• Benefits: Medical/prescription and vision coverage, dental insurance, no-cost short- and long-term disability, company-paid life insurance and legal services, retirement pension, 401(k) with employer match, voluntary insurance discounts (auto/home/pet/critical illness/hospital indemnity/accident), EAP and digital mental health programs, parental leave, volunteer time off, tuition assistance.