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Sr. Integrated Absence Specialist

Role overview

Qualifications

  • Ability to operate efficiently with minimal supervision
  • Good judgment in escalating issues
  • Experience in mentoring and training staff
  • Knowledge of leave of absence regulations

Responsibilities

  • Manage and track job protected leaves and determine eligibility
  • Act as a resource for clients and staff regarding leave requirements
  • Administer disability and Paid Family Leave claims efficiently
  • Coordinate return to work efforts with relevant parties

Key facts

Other skills

  • Customer Service
  • Supervision
  • Mentorship
  • Communication

About the company

TRISTAR Insurance Group logo

TRISTAR Insurance Group

Insurance

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR. We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity. At TRISTAR, you help create a world in which together we "transform risk into opportunity".

Company details

Company typeSME
IndustryInsurance
Company size501 - 1000

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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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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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