Senior Integrated Absence Specialist

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🕒 vor 23 Tagen

🏄 California – Remote

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💵 $69.000 - $73.000 / Jahr

⏰ Vollzeit

🟠 Senior

👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of TRISTAR Insurance Group

TRISTAR Insurance Group

501 - 1000 Mitarbeiter

Gegründet 1987

💼 Beratung

🏥 Gesundheitswesen

📦 Logistik

Consulting • Healthcare • Logistics

Die TRISTAR Insurance Group ist ein nationaler Drittanbieter-Administrator (TPA), der Versicherungsverwaltung und Risikomanagement-Dienstleistungen für Arbeitgeber, Versicherer und öffentliche Einrichtungen anbietet. Zu den Lösungen gehören Sach- und Unfallversicherungen, Arbeitnehmerentschädigungen, allgemeine und Kfz-Haftpflicht, betreute Pflege (Rechnungsprüfung, Fallmanagement, Nutzungsprüfung, Krankenpfleger-Triage, Apothekenleistungsmanagement), Abwesenheits- und Behindertenmanagement, Verwaltung von Mitarbeitergruppenleistungen sowie Risikokontrolle und Arbeitssicherheitsdienste. TRISTAR legt Wert auf kollaborative, technologiebasierte und maßgeschneiderte Dienstleistungen, um Risiken für ihre Kunden in Chancen zu verwandeln.

Beschreibung

• Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability, and Long-Term Disability claims • Manage, track, and determine eligibility for job-protected leaves, including FMLA, CFRA, PDL, and PLOA • Advise clients and staff regarding leave requirements, regulations, company benefits, and internal leave policies • Administer disability and paid family leave claims according to established procedures • Coordinate insured program coverage and administration with carriers • Maintain relationships with clients and their employees to meet customer service goals • Maintain and administer check-cycle payments and procedures • Coordinate return-to-work efforts with claimants, providers, and clients • Answer telephone claim calls from claimants, clients, and carriers within 24 hours • Provide high-quality customer service • Mentor and train staff and serve as a technical resource • Back up or fill in for the supervisor on administrative tasks • Perform other duties as assigned

🎯 Anforderungen

• High school diploma or GED (minimum) • 5+ years of prior Leave of Absence and/or related disability experience • One year of experience in an administrative office environment (preferred) • Ability to work efficiently with minimal active supervision • Organized, with ability to document files accurately • Thorough understanding of federal and statutory regulations regarding FMLA, CFRA, and PDL • Ability to integrate leave programs with VDI, STD, and VDI benefits • Computer proficiency in Word, Excel, and web applications • Effective verbal and written communication with employees, supervisors, and external providers • Ability to educate and counsel on sensitive and complex issues • Planning and organization skills for multitasking in a high-volume, fast-paced environment • Ability to solve practical problems and interpret written, oral, diagrammatic, or schedule-based instructions • Comprehension of disability plan documents, SOC, and ERISA guidelines • CPDM preferred • General knowledge of benefit taxability • Ability to follow attendance policy, maintain a consistent work schedule, and be punctual • Ability to perform sedentary work and use standard office equipment

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