Remote Bilingual Absence Claims Specialist

ComPsych Corporation
2d$17Remote

About The Position

As a Bilingual Absence Claims Specialists you 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.

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

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

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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