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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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