FMLA Claims Specialist

ComPsych ® Corporation is the world’s largest provider of mental health services and GuidanceResources ® for life . Fueled by a commitment to relentless innovation and a comprehensive approach to care, ComPsych provides services to more than 78,000 organizations and 163 million individuals across 200 countries. Under our GuidanceResources ® brand, our personalized and fully integrated programs include behavioral health, absence management, and wellness journeys, which empower employees to lead healthier and more productive lives, while driving organizational excellence. Visit compsych.com to find out why 40% of the Fortune 500 choose ComPsych for their mental health needs.

Job Summary

FMLA Claims Specialists are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. This individual will report to a Claims Team Lead and must have strong attention to detail, clerical/administrative experience, and commitment to quality.

Primary Responsibilities

• Review the Family Medical Leave Act (FMLA), state and company leaves medical certifications as mandated by state and federal guidelines and in coordination with our customer’s policies
• Meet production and quality goals set by the FMLA Department
• Provide accurate, professional, and timely responses to communications from internal and external clients
• Serve as an internal reference to the team for certification requirements and processing
• 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
• Compose and send client-specific letters and emails regarding final decisions
• Process reports for clients and short term disability partners
• Provide innovative ideas that can support the ongoing growth of the FMLA Department
• Support management with special projects as necessary
• Other duties as assigned
  
  

Job Qualifications

• Bachelor’s Degree required
• Customer Service experience required, employee benefits administration and/or FMLA administration a plus
• Exceptional communication skills, with a strong focus on customer service
• Quick thinking, high energy, positive, and professional, with demonstrated multi-tasking and critical thinking skills
• Computer literate and proficient in Microsoft Office Suite
• Bilingual Spanish is a plus
• High-speed internet and a professional workspace that is free from distraction, disruption or outside noise
  
  

Benefits And Perks

• Full benefits package, including Paid Time Off (PTO), medical, dental, vision, 401(k) with match, robust EAP, wellness program, and much more
  
  

EEO

ComPsych celebrates diversity and is an equal opportunity employer. All applicants will be considered for employment regardless of race, color, age, genetics, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status and any other characteristic protected by federal, state or local laws. ComPsych Corporation maintains a drug free workplace.