Senior Claim Analyst
Core
Guide claimants through integrated leave processes with empathy and clarity, focusing on high-complex claims for Short Term Disability, Family Medical Leave (FMLA), and other paid leaves.
Role type
Senior Claims Analyst (Leave Management)
Builds
Accurate and timely claim payment decisions and regulatory compliance for leave management programs.
Domain
Financial services / Human Resources / Claims Administration
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Critical thinking, decision making, problem solving, attention to detail, time management, prioritization, cross-functional collaboration
Preferred skills
Bachelor's degree
Technologies
Microsoft Office 365, Outlook
Responsibilities
Analyze and determine claim payments accurately and timely; make claim decisions on non-complex disability claims; mentor and support claims analysts/specialists; lead claim Roundtable and document action plans; manage assigned work queues within defined service level agreements (SLAs); oversee contract and language discrepancies and provide proactive solutions.
Seniority
Senior, hands-on IC with mentorship responsibilities
