MetLife

Handle 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

? 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 FMLA and other leave claims within regulatory timelines, 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