Insurance Admin Representative, Unlicensed
COVU
Absence Claims Specialist
ComPsych
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies
- Provide accurate, professional, and timely responses to communications from internal and external partners
- Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence
- Maintain complete and accurate documentation of leaves within our proprietary database
- Correspond with clients regarding leave status and assist with decision making
- Process reports for clients and short term disability partners
- Input and analyze data
- Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times
- Meet and adhere to production and quality goals as well as performance metrics
- Responsible and accountable for maintaining and protecting personal, confidential claimant health information
- Must maintain a high level of confidentiality and abide by HIPAA rules and regulations
- Engage in ongoing education and training around laws, policies and service delivery
- Support management with special projects as necessary
- Other duties as assigned
Requirements
- Bachelor’s Degree preferred
- High School Degree or equivalent required
- 1+ years of human resource, claim management or leave and disability experience
- Exceptional verbal and written communication skills, with a strong focus on customer service
- Proficiency in Microsoft Office Suite
- Quick thinking, high energy, positive, and professional with demonstrated multi-tasking and critical thinking skills
- Strong time management and deliverable ownership
- Ability to work independently
- Strong attention to detail
- Good analytical skills
- Bilingual Spanish is a plus
- High-speed internet and a professional workspace that is free from distraction, disruption or outside noise
Benefits
- Full benefits package, including Paid Time Off (PTO)
- medical, dental, vision, 401(k) with match
- robust EAP
- wellness program
- and much more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisleave managementclaim managementFMLA complianceHIPAA compliancedocumentation managementreport processingMicrosoft Office Suitebilingual Spanish
Soft skills
communication skillscustomer servicetime managementattention to detailcritical thinkingmulti-taskingprofessionalismindependencerespectsensitivity
