Bilingual Spanish Absence Claims Specialist

4 days ago

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ComPsych

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ComPsych is a leading global provider of employee assistance programs (EAP), wellness and mental health services, and work-life programs. The company focuses on improving employee well-being and organizational health through various support systems and resources tailored for various workplace environments.

HR Services • Online Services • Critical Incident Services • Global Services • Employee Assistance Program (EAP)

1001 - 5000 employees

Founded 1984

🤝 B2B

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• As a Bilingual Spanish Absence Claims Specialist, you are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. • Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines. • 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 for maintaining and protecting personal, confidential claimant health information. • Engage in ongoing education and training around laws, policies and service delivery.

🎯 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 • High-speed internet and a professional workspace that is free from distraction, disruption or outside noise

🏖️ Benefits

• Full benefits package, including Paid Time Off (PTO)• Medical• Dental• Vision• 401(k) with match• Robust EAP• Wellness program• Much more