Claims Adjuster, Examiner, and Investigator Hilliard, OH Professional


LEAVE OF ABSENCE- FMLA CLAIMS PROCESSING
WAGES: $13.50/HR, 37.50/HOURS PER WEEK
LOCATION: Hiliard, OH
Onsite training then most likely remote



PRIMARY PURPOSE: To analyze reported Family Medical Leave (FMLA) requests; to make determinations based on state and federal regulations; and to ensure that on-going claim management is within company service standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES


  Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.


  Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.


  Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.


  Communicates decisions and on-going expectations with claimants and clients.


  Maintains professional client relationships.


  Attendance during scheduled work hours is required.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES




  Performs other duties as assigned.


  Supports the organization's quality program(s).
QUALIFICATIONS Education & Licensing High school diploma or GED required. College degree and/or college courses preferred.
Experience
Two (2) years of administrative/general office experience or equivalent combination of education and experience required. Disability management and/or FMLA administration experience preferred.
Skills & Knowledge


o Knowledge of state and federal FMLA regulations o Knowledge of medical disability management o Excellent oral and written communication, including presentation skills o PC literate, including Microsoft Office products o Analytical and interpretive skills o Strong organizational skills o Excellent interpersonal skills o Ability to work in a team environment o Ability to meet or exceed Performance Competencies
 
Please email resume to nikki@careerpros.com
 
Sedona Staffing Services is an Equal Opportunity Employer
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(563) 556-3040

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