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26Oct

Claims Adjuster, Examiner, and Investigator

Sedona Staffing Services,

This listing has expired

LEAVE OF ABSENCE- FMLA CLAIMS PROCESSING

WAGES: $15.50/HR, 37.50/HOURS PER WEEK

LOCATION: DUBUQUE, IA

TRAINING ONSITE: DEC 14 - JAN 15TH, 730AM TO 330PM, THEN MOVE REMOTE, MUST HAVE INTERNET AND ABILITY TO WORK THE REMAINDER OF PROJECT FROM HOME

REMOTE HOURS: PRIMARY 730-330PM BUT MAY HAVE TO WORK BETWEEN 5AM AND 5PM

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

This listing has expired

Job Details

Req Num 878A33E3832149ABB9109F2D118E46BC_44
ID 759605
Location
Positions 15
Type
--
Status
--
Pay $15.50
Categories
Skilled Labor Trades
EMSI Skills Disability Management
Family And Medical Leave Act Of 1993
Management
Microsoft Office
Presentations
Workflows
Written Communication
Benefits

Preferred Candidates

Years of Experience --
Education --

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