Senior Integrated Absence Specialist

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🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $69k - $73k / year

⏰ Full Time

🟠 Senior

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TRISTAR Insurance Group

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

TRISTAR Insurance Group is a national third-party administrator (TPA) that provides insurance administration and risk management services to employers, insurers and public entities. Its solutions include property & casualty, workers' compensation, general and auto liability, managed care (bill review, case management, utilization review, nurse triage, pharmacy benefit management), absence and disability management, employee group benefits administration, and risk control and workplace safety services. TRISTAR emphasizes collaborative, technology-enabled and tailored services to transform risk into opportunity for its clients.

📋 Description

• 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

🎯 Requirements

• 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