ComPsych
The World’s Largest Provider of Mental Health Services and GuidanceResources® for Life.
Absence Claims Specialist
Claims SpecialistClaims SpecialistFull TimeRemoteJuniorTeam 1,001-5,000Since 1984H1B SponsorCompany SiteLinkedIn
Location
United States
Posted
87 days ago
Salary
Not specified
Seniority
Junior
High School1 yr expEnglish
Job Description
• Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies
• Provide accurate, professional, and timely responses to communications from internal and external partners
• Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence
• Maintain complete and accurate documentation of leaves within our proprietary database
• Correspond with clients regarding leave status and assist with decision making
• Process reports for clients and short term disability partners
• Input and analyze data
• Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times
• Meet and adhere to production and quality goals as well as performance metrics
• Responsible and accountable for maintaining and protecting personal, confidential claimant health information
• Must maintain a high level of confidentiality and abide by HIPAA rules and regulations
• Engage in ongoing education and training around laws, policies and service delivery
• Support management with special projects as necessary
• Other duties as assigned
Job Requirements
- Bachelor’s Degree preferred, High School Degree or equivalent required
- 1+ years of human resource, claim management or leave and disability experience
- Exceptional verbal and written communication skills, with a strong focus on customer service
- Proficiency in Microsoft Office Suite
- Quick thinking, high energy, positive, and professional with demonstrated multi-tasking and critical thinking skills
- Strong time management and deliverable ownership
- Ability to work independently
- Strong attention to detail
- Good analytical skills
- Bilingual Spanish is a plus
Benefits
- Full benefits package, including Paid Time Off (PTO), medical, dental, vision, 401(k) with match, robust EAP, wellness program, and much more
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