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Specialist Disability Claims I

Employer
York Risk Services Group
Location
Howell, Michigan
Salary
Not Specified
Closing date
Mar 16, 2019

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Category
Claims
Job Type
Not Specified
Career Level
Not Specified

Job Details

At York, we believe that an experience marked by expertise, consistency and compassion sets us apart. And we celebrate the diverse backgrounds and unique perspectives that allow us to stand apart from our competitors. Thats why we are committed to recruiting, developing and retaining people who represent our values and who believe in our mission.

Job Description

  • Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract managing a case load between 275 and 315 cases
  • Communicate thoroughly and accurately with client and claimant on all aspects of claims process either by phone or written correspondence.
  • Provide telephonic customer service to claimant by offering absence information and answering questions regarding their rights and responsibilities.
  • Inform claimants of documentation required to process claims, required time frames and claim status information.
  • Administer claims by:
  • Processing disability/FMLA paperwork
  • Analyzing FMLA claims to determine eligibility and certification in compliance with state and federal regulations
  • Communicating absence and return to work information to client
  • Staffing claims with clinician, as appropriate
  • Coordinating certain types of leaves with client Human Resources Department
  • Communicating decisions and on-going expectations with claimants and clients
  • Tracking FMLA absences, per client calendar
  • Troubleshoot disability and absence issues
  • Verifying return to work status
  • When appropriate, managing cases in accordance with Service Level Agreements outlined in client contract.
  • Prepare reports and analysis on various compensation, benefit and absence tracking.
  • Maintain professional client relationships.
  • Other duties as assigned

Skills/Qualifications:

  • Associate or Bachelors Degree, or equivalent experience in the employee benefits, disability, FMLA, claim administration, and/or medical management related disciplines
  • Two years experience in the employee benefits field with a concentration on disability, FMLA, claim administration, and/or medical management related disciplines preferred
  • Knowledge of FMLA regulations
  • Excellent communication and customer service skills
  • Ability to present ideas and recommend solutions
  • Proficiency in Microsoft office and other computer applications
  • Strong administrative abilities, problem solving and judgment skills

Company

For more than 55 years, York has been delivering on our mission of reducing risk and getting people and organizations back to health, work and productivity. We’re committed to recruiting, developing and retaining people who represent our values and who believe in our mission. Our associates come from all walks of life but are single-minded in the pursuit of doing right by those we serve. We want each experience for our clients to be marked by expertise, consistency, and compassion because that’s what sets us apart. And we know for certain that it’s our people who allow us to say, boldly and proudly, that York is behind every good outcome.

Company info
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