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Senior Integrated Absence Specialist

Job not on LinkedIn

đź•’ August 11

🏄 California – Remote

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đź’µ $69k - $73k / year

⏰ Full Time

đźź  Senior

đź‘» Ghost score 0%

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Logo of TRISTAR Insurance Group

TRISTAR Insurance Group

501 - 1000 employees

Founded 1987

đź’Ľ 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.

đź“‹ 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 • Manage, track, and determine eligibility for job-protected federal, statutory, and employer-sponsored leaves, including FMLA, CFRA, PDL, and PLOA • Advise clients and staff on 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 client and employee rapport 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 • Mentor and train staff and serve as a technical resource • Back up or fill in for the supervisor on administrative tasks • Perform other assigned duties

🎯 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 operate efficiently with minimal supervision • Ability to document files accurately • Thorough understanding of federal and statutory FMLA, CFRA, and PDL regulations • Ability to integrate leave programs with VDI, STD, and VDI benefits • Computer proficiency in Word, Excel, and web applications • Ability to communicate effectively verbally and in writing 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 scheduled instructions • Understanding of disability plan documents, SOC, and ERISA guidelines • CPDM preferred • General knowledge of benefit taxability • Ability to maintain a consistent work schedule and punctuality • Ability to use computers, 10-key, copiers, printers, fax machines, postal meters, telephone switchboards, and other office equipment • Appropriate office attire

🏖️ Benefits

• Fully remote work arrangement

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