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ComPsych · 20 hours ago

Remote Absence Claims Specialist

United States

Full-time

Remote

Entry Level

1+ years exp

ComPsych is the worldwide leader in organizational mental health, well-being, and absence management. The Absence Claims Specialist is responsible for processing medical certifications, maintaining documentation, and providing support to clients and internal partners in a high production environment.

Mental Health Care

Responsibilities

Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies

Provide accurate, professional, and timely responses to communications from internal and external partners

Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence

Maintain complete and accurate documentation of leaves within our proprietary database

Correspond with clients regarding leave status and assist with decision making

Process reports for clients and short term disability partners

Input and analyze data

Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times

Meet and adhere to production and quality goals as well as performance metrics

Responsible and accountable for maintaining and protecting personal, confidential claimant health information. Must maintain a high level of confidentiality and abide by HIPAA rules and regulations

Engage in ongoing education and training around laws, policies and service delivery

Support management with special projects as necessary

Other duties as assigned

Qualification

Claims management experienceMicrosoft Office SuiteAttention to detailAnalytical skillsVerbal communicationWritten communicationCustomer serviceMulti-taskingBilingual SpanishTime managementCritical thinkingIndependent work