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Unum · 5 hours ago

MGB Senior Integrated Paid Leave Specialist

Chattanooga, Tennessee, USA

Full-time

Onsite

Mid, Senior Level

$46K/yr - $86K/yr

Unum is a leading provider of employee benefits and service solutions, dedicated to helping employees thrive. The Senior Integrated Paid Leave Specialist will manage a caseload of leaves and claims, ensuring compliance with FMLA and state regulations while providing excellent customer service and mentoring newer employees.

FinanceFinancial ServicesInsurance

Responsibilities

Manages a caseload of new leaves and claims

Active working knowledge of varying statutory benefit regulations—i.e. eligibility, entitlement, benefit calculations—and ability to continue building expertise for upcoming new statutory state plans

Integrated files: ability to accurately navigate and execute adjudication within files comprised of a combination of leave protections—i.e. statutory benefits, FMLA, corporate leaves, state-specific EE offsets

Processing of leaves associated with an employee’s own serious health condition under PML programs, utilizing statutory definitions of serious health condition

Apply contractual and regulatory knowledge to ensure appropriate eligibility requirements and liability decisions

Meet & maintain accuracy and quality expectations regarding integrated files that require a specialist to work out of both claim & leave

Facilitates new paid leave customer implementation education for teams and has ability to discuss and educate on industry trends for paid leaves

Assist with the development of new statutory paid leave products and participate in shaping Unum’s paid leave offering

Develop relationships with Employer contacts, including HR administrators

Provide excellent customer service by paying appropriate claims promptly and quickly and independently responding to all inquiries

Determine and generate appropriate communications to comply with PFML and, where applicable, FMLA and State regulations and customer procedures

Manage leave/claim through duration, develop relationships with Employer contacts, including HR administrators

Serve as mentor and coach to new and existing Integrated Paid Leave Specialist on workflows, processes, decision making, and complex service issues

Contributes as a subject matter expert in business and systems (Navilink, BAS, Finance Hub)

Ability to represent the IPLS team on special projects as needed

Calculates benefits, BWE and offsets. Provide mentoring and coaching to team members on complex financial situations

Presents paid leave offerings to prospective/current customers

Stays up to date on the evolving paid leave statutory landscape

Review medical certifications and other documentation submitted; consult with Nurse Case Manager if needed

Provides director/manager with performance/feedback for assigned mentees

Provide backup support for manager: reviewing & assisting with file escalations, spot-audits, specialist feedback and attending customer calls as needed

Maintain organizational service standards on all assigned claims

May perform other duties as assigned

Qualification

FMLA expertiseState leave laws knowledgeClaims processingCustomer relationship managementAnalytical skillsDecision makingBusiness communicationWindows proficiencyWord proficiencyExcel proficiencyAccess proficiencyInterpersonal skillsAttention to detailOrganizational skills

Required

Mastery of the key accountabilities of the Integrated Paid Leave Specialist position

Consistently demonstrates high level of professionalism and excellent performance

Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions

Expectation of increasing levels of skill and ability; ability to manage a wide variety of claims independently

Strong interpersonal skills and customer relationship skills

Strong business communication skills (telephone, e-mail, written)

Knowledge of Windows; general keyboard and computer skills (Word, Excel, Access)

Decision making and analytical skills

Attention to detail and organizational skills

Working knowledge of statutory laws

Preferred

4-year degree or similar experience preferred

Basic understanding of STD processes and work flows and insurance industry preferred

Benefits

Health, Vision, Dental

Short & Long-Term Disability

Performance Based Incentive Plans

Generous PTO (including paid time to volunteer!)

Up to 9.5% 401(k) employer contribution

Mental health support

Career advancement opportunities

Student loan repayment options

Tuition reimbursement

Flexible work environments

Company

Unum

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Since our founding in 1848, Unum has been a leader in the employee benefits business through innovation, integrity and an unwavering commitment to our customers.

Founded in 1848