Claims Specialist Leave & Disability
Core
Guide claimants through leave and disability experiences by administering Short Term Disability, FMLA, and other leaves while ensuring compliance and high customer service.
Role type
Claims Specialist (Leave & Disability)
Builds
Administered leave claims and benefit decisions
Domain
Insurance / Employee Benefits
Deliverable
client delivery
Required skills
Medical/vocational management, Claims administration, Policy interpretation, Medical documentation evaluation, Stakeholder relationship management, SLA management
Preferred skills
Microsoft Office 365 proficiency, Critical thinking, Time management
Responsibilities
Analyze FMLA and short-term disability policies to determine eligibility; Manage end-to-end claim experience; Evaluate medical documentation for benefit eligibility; Communicate claim decisions and benefits to claimants; Coordinate with medical providers for documentation; Manage work queues within service level agreements.