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Sr. Integrated Absence Specialist

Key Facts

Full time
Senior (5-10 years)
English

Other Skills

  • Mentorship
  • Decision Making
  • Communication
  • Rapport Building
  • Time Management
  • Customer Service
  • Problem Solving

Roles & Responsibilities

  • Experience administering leaves of absence and disability programs (FMLA, CFRA, PDL, PLOA)
  • Knowledge of TRISTAR ICS protocols and related policies
  • Strong customer service and communication skills with ability to work with minimal supervision
  • Ability to mentor/train staff and serve as a technical resource, coordinating with carriers for insured programs

Requirements:

  • Manage, track, and determine eligibility for all job-protected leaves (FMLA, CFRA, PDL, PLOA) and ensure policy compliance
  • Administer disability/PFL claims following established procedures and coordinate with the appropriate carriers
  • Provide high-quality customer service; establish rapport with clients and employees; respond to claim inquiries (including 24-hour call handling)
  • Coordinate return-to-work efforts with claimants, providers, and clients; mentor/train staff and serve as a technical resource

Job description

SUMMARY: Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability and Long-Term Disability Claims in accordance with TRISTAR ICS protocols.

 

DUTIES AND RESPONSIBILITIES:

 

This position may perform some or all of the duties listed below:

 

  • Can operate efficiently with minimum need for active supervision
  • Exercises good judgment about when to ask for supervisory intervention or otherwise surface issues
  • Can back up/fill in for the supervisor on many administrative tasks
  • Acts as a mentor/trainer for other staff and is a technical resource
  • Manages, tracks, and determines eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i.e. FMLA, CFRA, PDL, PLOA)
  • Acts as a resource to clients and staff regarding the requirements and regulations of the above-mentioned leaves with company benefits and internal leave policies
  • Follow established procedures and policies to administer disability/PFL claims in a timely and efficient manner.
  • Coordinate coverage and administration of insured programs with the appropriate carrier.
  • Establish and maintains rapport with clients and their employees to ensure customer service goals are met.
  • Maintain and administer appropriate check cycle payments and procedures.
  • Coordinate return to work efforts with claimant, provider, and client
  • Answer all telephone claim calls from claimants, clients and carriers within 24 hours.
  • Provide highest quality of customer service.
  • Follow attendance policy: consistency in work schedule and punctuality.
  • All other duties as assigned.

 

 

EQUIPMENT OPERATED/USED: Computer, 10-key, copier, printers, fax, postal meter, telephone switchboard and other office equipment.

 

 

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire.

 

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