Top Operations & Support Jobs

Manage and adjudicate ADA and other leave claims: evaluate eligibility, make initial claim decisions, track intermittent leave, recertify conditions, confirm return-to-work, update systems, and communicate with employees, employers, physicians, and claims teams to meet compliance and TAT requirements.

Researches and processes dental claims and customer email inquiries, adjudicating claims per guidelines, applying HIPAA, using multiple systems, meeting quality and productivity targets, handling escalations, and ensuring compliance with policies.

Lead ADA standalone claim administration and absence management: evaluate eligibility, make claim decisions, manage recertification and intermittent tracking, update systems, ensure timely documentation, and coordinate with claim specialists, supervisors, employers, employees, and medical offices.

Serve on the ServiceNow Platform team to translate business needs into technical solutions, design UI mock-ups and functional requirements, analyze ITIL processes, identify automation and process improvements, produce technical documentation, and participate in Agile ceremonies to drive adoption and platform governance.

Provide high-level administrative support to Private Equity and Direct Lending teams: manage complex calendars, coordinate domestic and international travel, prepare expense reports, organize confidential documents and meeting materials, maintain Salesforce contacts, handle phone/IT triage, and support office processes and senior-level meeting coordination.

Lead continuous improvement and process reengineering for Sales Compensation Admin (onshore and offshore). Map and redesign processes, define and re-baseline metrics, identify automation opportunities, and perform data analysis (including 'Not In Good Order' analysis). Coordinate with Sales, Service, Stateside and GOSC teams to design metrics and processes that support products and improve process health.

Lead and coach a team of Complaint & Litigation Specialists to log, research, and resolve complaints and grievances. Manage team inventory, workflows, and performance, build cross-functional partnerships, ensure compliance with regulatory requirements, and drive timely, accurate case closures.

Serve as the primary contact for customers via phone and digital channels, resolving complex policy, coverage, billing, and service inquiries end-to-end. Use guided, AI-powered tools, validate call summaries, document interactions per privacy and regulatory standards, escalate issues as needed, and participate in training and continuous improvement.

Process new business cases and policy issuance using MetLife systems: retrieve and review sold case files, update group and class structures, order dental cards when applicable, reconcile first-bill audits, generate policies/certificates, send templated emails, and complete tasks in WorkDesk/Bizflow and MetLink.

Act as the primary compliance advisor within Agency Offices, delivering guidance, training, audits, and labor/operational management while supporting governance, reporting, and corrective actions to strengthen sales office compliance.