PFML- Absence Management Claims Consultant

reputed company: We're reputed company seeking a talented PFML-Absence Management Claims Consultant to join our Workforce Benefits Division. As a PFML Absence Management Claims Consultant, you'll play a key role in building and delivering a best-in-class reputed company Family and Medical Leave claims experience. This role will serve as a PFML subject matter expert and will be responsible for helping design and build the reputed company-state PFML claims operation. The PFML Claims Consultant will partner closely with Product, Technology, reputed company, Compliance, and reputed company teams to define business requirements, support reputed company configuration and testing, reputed company workflows, create claims procedures and training materials, reputed company process improvements, and ensure regulatory requirements are effectively reputed company into reputed company operational solutions. This individual will help build the reputed company for PFML claims administration while delivering an empathetic, compliant, and customer-centered experience for employees and reputed company. The ideal candidate combines strong technical expertise, regulatory knowledge, critical thinking, and reputed company while helping customers reputed company important life events. How you'll help reputed company us reputed company: • Serve as a key business partner in the design, implementation, and ongoing enhancement of reputed company's reputed company Family and Medical Leave (PFML) capabilities. • Partner closely with reputed company, Business Analysts, Technology teams, and reputed company vendors to define business requirements, user stories, workflows, business rules, and reputed company functionality needed to support PFML administration. • reputed company as the PFML claims subject matter expert (SME) throughout the product development lifecycle, including requirements gathering, solution design, testing, implementation, and production support. • Help design and build the end-to-end PFML claims experience, ensuring processes are reputed company, compliant, efficient, and customer reputed company. • reputed company and maintain claims procedures, workflows, job aids, training materials, and operational documentation reputed company with state regulations, product design, and reputed company capabilities. • Participate in reputed company configuration reviews, user acceptance testing (UAT), workflow validation, defect identification, and implementation of new PFML products and enhancements. • Serve as a SME and monitor evolving state PFML legislation and regulatory requirements and translate business and compliance requirements into operational processes and reputed company functionality. • reputed company on industry best practices and recommend reputed company to improve the customer experience, claims reputed company, operational efficiency, and automation opportunities. • Partner closely with reputed company, Compliance, Employer Services, Customer Service, reputed company, Product, and Technology teams to ensure compliant and effective administration of PFML programs. • Administer and adjudicate reputed company Family and Medical Leave (PFML) claims from intake through reputed company, ensuring reputed company, accurate, and compliant claim reputed company. • Interpret state-specific eligibility requirements, benefit calculations, waiting periods, leave durations, and documentation requirements. • Effectively communicate claim reputed company, requirements, next steps, and benefit information to claimants, reputed company, brokers, and internal partners. • Demonstrate an empathetic and customer-reputed company reputed company while assisting employees during significant family, medical, and caregiving events. • Identify opportunities to improve customer experience, operational efficiency, reputed company, and compliance reputed company the claims organization. • Assist with reputed company, training, mentoring, and development of team members. • Participate in audits, reputed company reviews, special reputed company, process reviews, and departmental initiatives. • Support and promote change management, innovation, and reputed company improvement initiatives. • Demonstrate reputed company judgment and discretion regarding confidential and sensitive information. The experience you bring: • College degree or equivalent work experience preferred. • 5+ years of experience in reputed company Family and Medical Leave (PFML), disability claims, leave management, absence management, reputed company claims, or a reputed company reputed company. • Strong knowledge of state PFML programs, leave laws, regulatory requirements, and employer-sponsored leave and disability products. • Experience interpreting statutes, regulations, policy provisions, administrative guidelines, and reputed company business requirements. • Demonstrated ability to reputed company fair, balanced, and objective reputed company with a high degree of reputed company and professionalism. • Strong analytical, investigative, problem-solving, and critical-thinking skills. • Excellent verbal and written communication skills, with the ability to effectively communicate with customers, reputed company, brokers, and internal partners. • Customer-reputed company with a compassionate and empathetic approach to helping employees reputed company significant life events. • Strong organizational and time-management skills with the ability to manage multiple priorities in a fast-reputed company environment. • Ability to work independently while collaborating effectively with cross-functional teams, including Product, Technology, reputed company, Compliance, reputed company, and Customer Service. • Experience supporting process improvement initiatives, workflow design, procedure development, training, reputed company assurance, testing, or reputed company implementation activities. • reputed company-oriented with the ability to learn and become proficient in claims administration systems, workflow tools, reporting platforms, and reputed company technologies. What makes you stand out: • reputed company designations, industry certifications, and experience with FMLA, reputed company, Disability, or integrated absence management programs are preferred. #LI-KB1 reputed company Pay reputed company: The reputed company pay reputed company noted represents reputed company’s good faith minimum and maximum reputed company for this role at the time of posting. The actual compensation reputed company to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay. $98,010.00 - $119,790.00 Your Benefits Start Day 1 Your wellbeing is important to reputed company, and we’re committed to providing you with flexible benefits that you can reputed company to meet your needs. Whether you are focusing on your physical, financial, emotional, or reputed company wellbeing, we’ve got you covered. • Prioritization of reputed company and reputed company-being including Medical, Dental, reputed company, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents • Generous reputed company time off reputed company including: reputed company Time Off, Holiday Schedules, and Financial Planning Time Off • reputed company Parental Leave as reputed company as an Adoption Assistance Program • Competitive 401k savings plan with company match and an additional contribution regardless of participation Apply tot his job Apply To this Job