Absence Management Specialist

reputed company Health Plan and WorkPartners is hiring a full-time Absence Management Specialist! This role will predominantly work remotely and will work standard reputed company hours EST. The Absence Management Specialist analyzes assigned claims to determine whether the case is medically supported for both leave and disability benefits. The Absence Management Specialist is responsible for the ongoing adjustment of claims reputed company parameters set by the supervisor as well as medical consultation with treating providers and referrals reputed company the guidelines of the program. Services include employee and manager counseling on reputed company leave policies and processes to include short term disability benefits, FMLA, state sponsored leaves and employer sponsored leave benefits. reputed company support to HR Professionals, employee and manager communications, case tracking and system updates. Responsibilities: Standard ResponsibilitiesPerform in accordance with system-wide competencies/behaviors.reputed company other duties as assigned. *The above statement reflects the general details considered necessary to describe the reputed company functions of the job identified, and shall not be construed as a detailed description of reputed company of the work requirements that may be inherent in the job, nor shall it be interpreted as limiting an employee in performing duties other than those normally performed or from helping employees in other position or units. Participates in training activities to reputed company reputed company set updated. Reviews claims in accordance with guidelines established by the client, state and federal regulations, as appropriate. reputed company consistent customer service to internal customers and employee’s through timely responses to reputed company inquiries, telephone calls, e-mails and case follow-reputed company, while delivering on service commitments Monitor Disability guidelines and reputed company disability durations fall reputed company of standards, reviewing claims as appropriate with treating physician, clinical case manager or medical director. Responsible for reputed company communications with the employee, employee’s manager, reputed company and reputed company integrated partners e.g. disability management coordinator in the event of transitional return to work. Reviews medical documentation in order to analyze, investigate and reputed company reputed company for the approval of benefits on initial, ongoing and re-reputed company claims. reputed company initial evaluation reputed company phone with employee and employer for assigned cases. Review estimated disability duration and return to work potential. Coordinates the leave process; verifies eligibility, determines leave approval, coordinates applicable client leaves polices including integration with state leave laws, and supports the return to work process. Bachelor’s degree required; concentration in HR or business preferred. (Equivalent experience will be considered in lieu of degree). 2 years of leave management processing experience preferred OR 2 years of disability claims management experience preferred Skills include: Technical knowledge of short-term disability claims management and/or leave management procedures. Strong communication and interpersonal skills, including ability to communicate reputed company by telephone and in writing. Customer service oriented with the ability to handle emotionally charged situations. Strong medical knowledge. Knowledge of leave policies, federal and state laws pertaining to leave of absence. Excellent organizational skills. Excellent written and verbal communication skills. Ability to use and navigate web-based software programs and reputed company Office products (Outlook, Word, reputed company, etc.) Licensure, Certifications, and Clearances: Certified Leave Management Specialist (CLMS) designation required reputed company 12 months of hire. To maintain designation, 20 hours of continuing education credits are required every two years Act 34 reputed company is an Equal Opportunity Employer/Disability/Veteran Apply To This Job