AMS Claims Specialist

About MetLife and the Role

Join MetLife's Global Customer Service and Operations (GCSO) team, where a foundation of trust, empathy, and continuous improvement shapes exceptional customer care. This role enhances the customer experience by offering support during critical life moments, resolving issues, and leveraging innovative technology. As part of a collaborative environment, you will contribute to advancing the way millions of customers are supported globally.

The Global Technology & Operations (GTO) division fosters innovation through teams of engineers, analysts, and project managers working together to solve business challenges. As an AMS Claims Specialist, you will be responsible for managing total absence claims with precision and timeliness, playing a key role in customer service excellence.

Primary Responsibilities

• Manage and review claims pertaining to the Family & Medical Leave Act (FMLA) and/or Americans with Disabilities Act (ADA), ensuring compliance with federal, state regulations, and company policies.
• Develop and maintain workflow procedures related to FMLA/ADA claims and evaluate eligibility according to appropriate leave plans.
• Conduct eligibility assessments during intake calls and collect relevant information from employees or related systems as necessary.
• Perform follow-ups such as health condition recertification, intermittent claim monitoring, and return-to-work confirmation to maintain claim accuracy.
• Maintain up-to-date records in systems reflecting the current leave status and ensure all documentation is properly logged.

Qualifications

• Minimum of a high school diploma required.
• At least 1 year of relevant experience with a strong focus on customer satisfaction and attention to detail.
• Preferred: Bachelor's degree.
• Preferred knowledge of FMLA/ADA claims processes and procedures.

Compensation and Benefits

The salary for this position ranges from $41,600 to $80,169 annually. In addition to the base pay, the role may be eligible for short-term incentive compensation and stock-based long-term incentives subject to plan terms.

MetLife provides comprehensive benefits designed to support employees’ physical, mental, and financial well-being. Offerings include medical, prescription drug, vision, and dental insurance, along with no-cost short- and long-term disability coverage. Other benefits include company-paid life insurance, legal services, a fully funded retirement pension plan, 401(k) with employer matching, discounts on insurance products such as auto and home, accident insurance, and critical illness insurance. Additional supportive programs include Employee Assistance Programs (EAP), digital mental health services, parental leave, paid time off, holidays, volunteer time off, and tuition assistance.

Equal Opportunity and Work Environment

MetLife is proud to be an equal opportunity employer that makes employment decisions without regard to race, color, national origin, religion, sex (including pregnancy or related conditions), sexual orientation, gender identity, age, disability, marital status, veteran status, or any other legally protected status. The company maintains a drug-free workplace and complies with all applicable laws including Massachusetts regulations prohibiting lie detector tests as employment conditions.

If accommodations are required due to disability, applicants may contact MetLife directly to request assistance with the application process. All accommodation requests are confidential and utilized solely to facilitate the hiring process.