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