Remote Absence Claims Specialist
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.
Apply tot his job
Apply To this Job
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.
Apply tot his job
Apply To this Job