Senior Integrated Absence Specialist

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🏄 California – Remote

🏄 California – Remote

💵 $66k - $71k / year

⏰ Full Time

🟠 Senior

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TRISTAR Insurance Group

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

🤝 B2B

⚕️ Healthcare Insurance

B2B • Healthcare Insurance

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 in accordance with TRISTAR ICS protocols • Can operate efficiently with minimum need for active supervision • Exercises good judgment about when to ask for supervisory intervention or otherwise surface issues • Can back up/fill in for the supervisor on many administrative tasks • Acts as a mentor/trainer for other staff and is a technical resource • Manages, tracks, and determines eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i.e. FMLA, CFRA, PDL, PLOA) • Acts as a resource to clients and staff regarding the requirements and regulations of the above-mentioned leaves with company benefits and internal leave policies • Follow established procedures and policies to administer disability/PFL claims in a timely and efficient manner • Coordinate coverage and administration of insured programs with the appropriate carrier • Establish and maintains rapport with clients and their employees to ensure customer service goals are met • Maintain and administer appropriate check cycle payments and procedures • Coordinate return to work efforts with claimant, provider, and client • Answer all telephone claim calls from claimants, clients and carriers within 24 hours • Provide highest quality of customer service • Follow attendance policy: consistency in work schedule and punctuality • All other duties as assigned

🎯 Requirements

• High school diploma or GED (minimum) • One (1) year experience in administrative office environment (preferred) • 5+ year prior Leave of Absence and/or related disability experience • Must be organized and possess the ability to document files accurately • Must have a thorough understanding of Federal and Statutory regulations regarding FMLA, CFRA, and PDL • Ability to comprehend and integrate the above programs with VDI, STD, and VDI benefits • Computer proficient in Word, Excel, and Web applications • Ability to effectively communicate, both verbally and in writing, with employees, supervisors, and external providers using tact and diplomacy when expanding decisions • Ability to educate and counsel on sensitive and complex issues • Good planning and organization skills to multitask in a high volume and fast paced work environment • Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

🏖️ Benefits

• Medical, Dental & Vision Insurance • Life & Disability Insurance • 401(k) plan • Paid holidays • Paid time off • Referral bonus