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Team Leader Operations

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MetLife

1mo ago

  • Job
    Full-time
    Senior Level
  • People, HR & Administration
    Healthcare

AI generated summary

  • You must manage ADA claims, make eligibility decisions, perform leave administration tasks, update systems, and interact with various stakeholders to ensure compliance and effective absence management.
  • You will manage ADA claims, assess eligibility, interact with relevant parties, perform leave administration tasks, update systems, and ensure compliance within a 5-day turnaround time.

Requirements

  • Administer ADA (Americans with Disability Act) standalone claims
  • 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 ADA, 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

Responsibilities

  • Administer ADA (Americans with Disability Act) standalone claims
  • 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 ADA, 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

FAQs

What are the main responsibilities of the Team Leader Operations?

The main responsibilities include administering ADA standalone claims, making eligibility decisions, performing leave administration tasks, updating systems to reflect leave status, and interacting with various stakeholders such as claim specialists and physicians' offices.

What qualifications are required for this position?

While specific qualifications are not detailed in the job description, candidates should typically have experience in absence management, claim adjudication, and excellent communication skills.

What is the expected turnaround time (TAT) for claims activities?

The recommended turnaround time to complete claims activities is up to 5 business days to maintain compliance measures.

How does this role interact with other departments?

This role interacts with claim specialists, claim support specialists, quality assurance teams, Claims Unit Leaders, employees, employers, and physicians’ offices.

Is experience with the Americans with Disabilities Act necessary for this position?

Yes, experience in administering ADA standalone claims and understanding leave plans is important for the responsibilities of this role.

Does MetLife offer any benefits or recognition for its employees?

Yes, MetLife has been recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies" and is listed among Fortune World’s 25 Best Workplaces™ for 2024, showcasing its commitment to employee satisfaction and benefits.

Is training provided for new employees in this position?

While the job description does not specify, typically, companies like MetLife provide training to ensure new employees understand the systems and processes needed for the role.

What is the purpose of MetLife as a company?

MetLife's purpose is to help colleagues, customers, communities, and the world create a more confident future, guided by empathy and aimed at transforming financial services.

Are there opportunities for career advancement within the company?

MetLife is a leading financial services company with operations in more than 40 markets, suggesting that there could be opportunities for career advancement and professional growth within the organization.

Can this position involve handling claims related to both Federal and State leaves?

Yes, the position involves managing and adjudicating claims on Federal, State, and company leaves.

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MetLife

Finance
Industry
10,001+
Employees
1868
Founded Year

Mission & Purpose

We live in a time of unprecedented change. A time when economies, regulations, and social safety nets are all in flux. Customers around the globe have told us they’re overwhelmed by the pace of change and are looking for a trusted partner to help them manage life’s twists and turns. MetLife is committed to being that partner. That’s why we’re transforming our business: Delivering greater value for the people we serve by becoming a simpler, more focused, and future-facing company. We’ll be introducing new ways to meet our customers’ evolving needs, with flexible products; simpler, more intuitive experiences and a range of new services. MetLife. Navigating life together. MetLife, Inc. (NYSE: MET), through its subsidiaries and affiliates (“MetLife”), is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 markets globally and holds leading positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.