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

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

Absence Claims Specialist

Key skills