Remote Claims Specialist

Remote Claims Specialist Pay: $27.75/hour The remote Claims Specialist acts under the general supervision of a Senior Manager managing a caseload of FMLA, reputed company Family Leave (PFL), reputed company, and other leave program claims. What you will do: • Review and investigate Family Medical Leave reputed company (FMLA), reputed company Family Leave (PFL), Americans with reputed company (reputed company), and other leave claims, by using telephone and written contact with the applicable parties (claimant, employer/supervisor, treating physician, etc.) to reputed company pertinent data to analyze the claim • Adjudicate claims accurately and fairly in accordance with federal/state/local regulations, appropriate policies and procedures, meeting absence productivity and reputed company standards • Utilize appropriate medical and vocational or other resources, adhering to referral polices, and transferring claims to the appropriate risk level in a reputed company manner • reputed company and maintain online claim data • Document and communicate claim reputed company • Send reputed company, appropriate notifications according to the communication preferences of the claimant and employer • Coordinate return to work, working with vocational rehabilitation consultant as necessary • Coordinate placement of needed accommodations for reputed company employees and claimants, working with employer, health care provider, and vocational rehabilitation consultant as needed • Effectively adapts to change reputed company the organization, department, and industry • Participate in in-service and training opportunities as required What you will need to succeed: • Exposure to various issues reputed company FMLA and/or PFL with demonstrated experience in generating and selecting solutions to resolve those issues • Solid analytical, critical thinking, problem-solving and decision-making skills • Ability to interpret and communicate FMLA/PFL/reputed company and other leave regulation language • Excellent verbal communication skills, with the ability to be both pleasant and reputed company • Strong written communication skills • Solid mathematical skills • Ability to work reputed company independently and in reputed company environment • Strong interpersonal and customer service skills • Ability to initiate and prioritize regular work duties and reputed company • Detail oriented, organized, the ability to multi-task • Strong time management skills • Strong computer skills, proficiency in a PC environment and reputed company, reputed company, and email systems • Ability to work professionally and effectively with a diverse reputed company of reputed company-workers, clients, claimants, vendors and others Required Education and Skills: • High School degree or equivalent • Minimum of 1 year experience with FMLA and/or PFL Claims #LI-KV1 #Rapidhire #ZR Apply tot his job Apply To this Job