Senior Integrated Absence Specialist

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đź•’ vor 5 Tagen

🏄 California – Remote

infoinfo

đź’µ $69.000 - $73.000 / Jahr

⏰ Vollzeit

đźź  Senior

đź‘» Geisterscore 0%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of TRISTAR Insurance Group

TRISTAR Insurance Group

501 - 1000 Mitarbeiter

GegrĂĽndet 1987

đź’Ľ 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 according to TRISTAR ICS protocols • Operate efficiently with minimal active supervision and exercise judgment about when to seek supervisory intervention • Back up or fill in for the supervisor on administrative tasks • Mentor and train other staff and serve as a technical resource • 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 programs with the appropriate carrier • Maintain rapport with clients and employees to meet customer service goals • 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 • Perform other duties as assigned

🎯 Anforderungen

• High school diploma or GED (minimum) • 5+ year prior Leave of Absence and/or related disability experience • One (1) year experience in administrative office environment (preferred) • Organized and able to document files accurately • Thorough understanding of Federal and Statutory regulations regarding FMLA, CFRA, and PDL • Ability to comprehend and integrate VDI, STD, and VDI benefits • Computer proficient in Word, Excel, and Web applications • Ability to communicate verbally and in writing with employees, supervisors, and external providers • Ability to educate and counsel on sensitive and complex issues • Planning and organization skills to multitask in a high-volume, fast-paced work environment • Ability to solve practical problems and interpret written, oral, diagrammatic, or schedule instructions • Comprehension of Disability Plan Documents, SOC, and ERISA Guidelines • CPDM preferred • General knowledge of benefit taxability

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