Senior Life Event Specialist
Core
Adjudicate complex short-term disability claims and manage leaves of absence for employees, ensuring compliance with FMLA and state regulations.
Role type
Senior Life Event Specialist (Disability Claims & Leave Management)
Builds
Claims decisions and leave management processes for client companies
Domain
Employee Benefits / Health Insurance
Deliverable
client delivery
Required skills
Complex claim adjudication, FMLA and state leave regulations expertise, medical background knowledge, return-to-work strategy development, independent judgment, stakeholder communication
Preferred skills
Medical background, Disability claim experience, Leave management experience
Responsibilities
Adjudicate complex short-term disability claims, Process leaves for employees' health conditions, Apply technical contractual knowledge to determine eligibility, Coordinate file strategies with medical and vocational resources, Provide technical coaching to less experienced professionals, Ensure timely transfer of claims from STD to LTD
Seniority
Senior, hands-on IC with mentorship duties