Disability Claims Examiner

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Assists team members with their leave of absence applications and provides guidance throughout the process.

• Manages all leave of absence documentation in accordance with established protocols and legal requirements.

• Delivers prompt and precise responses to employees and management regarding daily concerns and operations.

• Oversees the administration of the FMLA policy.

• Evaluates FMLA documentation for accuracy and completeness.

• Makes recommendations regarding the approval or denial of FMLA requests based on federal guidelines.

• Coordinates the exchange of correspondence, forms, and other documents through the claims system.

• Engages with providers for clarification when necessary.

• Prioritizes customer experience to ensure optimal service for our clients.

• Proven track record of delivering precise, reliable, and trustworthy service to our customers.

⛳️ Requirements

• Minimum of 1 year of experience in Short Term Disability, Absence, or Paid Leave claim management, or a related field in health claims is preferred.

• Skills in claim/risk management and technical expertise in contract interpretation and administration.

• Capacity to thrive in a dynamic, fast-paced environment.

• Proven success in attaining Individual Development objectives.

• Goal-oriented with strong organizational and analytical skills.

• Excellent critical thinking, communication, organization, and time management abilities.

• Established customer service capabilities.

• Demonstrated flexibility to adapt to the evolving needs of the organization.

• Proficient PC skills are required (i.e., Windows operating system; Word; Excel; PowerPoint).

🏝️ Benefits

• Comprehensive medical, dental, vision, life insurance, and disability coverage.

• Paid Time Off (PTO) policy.

• 401(k) retirement plan with company matching (up to 4%).

• Company-funded pension plan.

• Wellness Programs offering up to $1,600 annually for reimbursement of items supporting personal wellbeing.

• Work/Life Resources to assist with various topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.

• Education Benefit to help finance traditional college enrollment for obtaining an approved degree and various accredited certificate programs.

• Employee Stock Purchase Plan allowing shares to be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.

• Eligibility to participate in a discretionary annual incentive program, subject to the governing rules, where an award, if applicable, depends on various factors including individual and organizational performance.