Insurance

• 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

Bilingual Absence Claims Specialist

Liability Claims Adjuster II

Auto Claims Specialist

Insurance Sales Associate

Claims Specialist

Insurance Verification Specialist