Absence Claims Specialist

4 days ago

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ComPsych

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ComPsych is a leading provider of employee assistance programs (EAP), offering mental health and wellness services to employees and their families. The company focuses on improving workplace productivity by providing support services that help employees manage personal and work-related challenges. ComPsych's solutions include counseling, crisis intervention, and various wellness programs designed to enhance overall employee satisfaction and performance.

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

1001 - 5000 employees

Founded 1984

⚕️ Healthcare Insurance

🧘 Wellness

🤝 B2B

📋 Description

• 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. • 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.

🎯 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 • Paid Time Off (PTO) • Medical • Dental • Vision • 401(k) with match • Robust EAP • Wellness program • Much more