Team Leader

MetLife; Dadri; On-site; INR 600,000 - 900,000; Full time

Job summary

MetLife in India seeks an ADA Claims Administrator to manage standalone Americans with Disability Act claims. You will administer claims, determine eligibility for entitlements, and coordinate data gathering from employees, physicians, or employers through calls, email, or other systems.

You will review new ADA cases, assess them against leave plans, and make initial decisions. The role includes absence management, recertification, RTW confirmation, and thorough diary documentation across

Responsibilities

• Administer ADA standalone claims
• Complete eligibility decisions and review for entitlement, gather data from employee, physician, or employer as needed
• Review new ADA cases and evaluate against appropriate leave plans
• Perform leave administration tasks including recertification, intermittent claim tracking, RTW confirmation
• Update systems to reflect leave status and maintain diary documentation
• Aim to meet recommended TAT of up to 5 business days for compliance
• Interact with claim specialists, QA, and employees/employers/physician offices

Job description

• 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