Claims Consultant Leave & Disability
Core
Technical expert and legal liaison for complex leave and disability claims, serving as a bridge between legal teams and claims operations.
Role type
Senior Claims Consultant (Leave & Disability)
Builds
Accurate and timely resolution of STD, Statutory, FMLA, and other paid/unpaid leave claims
Domain
Insurance / Employee Benefits
Deliverable
client delivery
Required skills
Subject Matter Expertise in STD, Statutory, FMLA, PPL, PFL policies, Legal Liaison representation, Deposition and arbitration participation, Action plan development for process gaps, Data analysis for trend identification, SLA management, Continuous improvement initiative support, Cross-functional collaboration
Preferred skills
Bachelor Degree
Technologies
Microsoft Office 365 (Outlook)
Responsibilities
Represent the company in depositions and arbitrations, Manage complex/non-complex disability and leave claims, Provide mentorship and guidance to claim staff, Analyze claim data to identify trends, Maintain service level agreements (SLA), Support continuous improvement initiatives
Seniority
Senior, hands-on IC
