Sr. Integrated Absence Specialist

Tristar Insurance • Signal Hill, CA

12d • Onsite

About The Position

Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability and Long-Term Disability Claims in accordance with TRISTAR ICS protocols.

Requirements

• High school diploma or GED (minimum).
• 5+ year prior Leave of Absence and/or related disability experience.
• Must be organized and possess the ability to document files accurately.
• Must have a thorough understanding of Federal and Statutory regulations regarding FMLA, CFRA, and PDL.
• Ability to comprehend and integrate the above programs with VDI, STD, and VDI benefits.
• Computer proficient in Word, Excel, and Web applications.
• Ability to effectively communicate, both verbally and in writing, with employees, supervisors, and external providers using tact and diplomacy when expanding decisions.
• Ability to educate and counsel on sensitive and complex issues.
• Good planning and organization skills to multitask in a high volume and fast paced work environment.
• Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Comprehension of Disability Plan Documents, SOC and ERISA Guidelines.

Nice To Haves

• One (1) year experience in administrative office environment (preferred).
• CPDM Preferred
• General Knowledge of Benefit Taxability.

Responsibilities

• Manages, tracks, and determines eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i.e. FMLA, CFRA, PDL, PLOA)
• Acts as a resource to clients and staff regarding the requirements and regulations of the above-mentioned leaves with company benefits and internal leave policies
• Follow established procedures and policies to administer disability/PFL claims in a timely and efficient manner.
• Coordinate coverage and administration of insured programs with the appropriate carrier.
• Establish and maintains rapport with clients and their employees to ensure customer service goals are met.
• Maintain and administer appropriate check cycle payments and procedures.
• Coordinate return to work efforts with claimant, provider, and client
• Answer all telephone claim calls from claimants, clients and carriers within 24 hours.
• Provide highest quality of customer service.
• Follow attendance policy: consistency in work schedule and punctuality.
• All other duties as assigned.

Benefits

• Medical, Dental, Vision, Disability & Life Insurance
• 401(k) plan
• Paid time off
• Paid holiday

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED