Job Description
About the position
Absence Claims Specialists are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. This individual will report to a Claims Team Lead and must have strong attention to detail, clerical/administrative experience, and commitment to quality.
- Responsibilities
- 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
- 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
- High-speed internet and a professional workspace that is free from distraction, disruption or outside noise
- Nice-to-haves
- 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
- The starting pay for this position is $16.35/hour. The pay represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, and scheduled hours.
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