Senior Integrated Absence Specialist

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🕒 Julho 7

🏄 California – Remoto

🏄 California – Remote

💵 $66.000 - $71.000 / ano

⏰ Tempo Integral

🟠 Sênior

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TRISTAR Insurance Group

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1987

💼 Consultoria

🏥 Saúde

📦 Logística

Consulting • Healthcare • Logistics

O TRISTAR Insurance Group é um administrador nacional de terceiros (TPA) que oferece serviços de administração de seguros e gestão de riscos para empregadores, seguradoras e entidades públicas. Suas soluções incluem propriedade e acidentes, compensação dos trabalhadores, responsabilidade geral e automotiva, assistência gerenciada (revisão de contas, gerenciamento de casos, revisão de utilização, triagem de enfermeiros, gerenciamento de benefícios de farmácia), gestão de ausências e incapacidades, administração de benefícios a grupos de empregados, e serviços de controle de risco e segurança no ambiente de trabalho. O TRISTAR enfatiza serviços colaborativos, habilitados pela tecnologia e personalizados para transformar risco em oportunidade para seus clientes.

Descrição

• 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 • Can operate efficiently with minimum need for active supervision • Exercises good judgment about when to ask for supervisory intervention or otherwise surface issues • Can back up/fill in for the supervisor on many administrative tasks • Acts as a mentor/trainer for other staff and is a technical resource • 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

🎯 Requisitos

• High school diploma or GED (minimum) • One (1) year experience in administrative office environment (preferred) • 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

🏖️ Benefícios

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