Senior Integrated Absence Specialist

Job not on LinkedIn

🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

💵 $69k - $73k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 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

🎯 Requirements

• 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