Senior Integrated Absence Specialist

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

📋 Description

• Establish and manage Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability, and Long-Term Disability claims in accordance with TRISTAR ICS protocols.

• Operate effectively with minimal supervision and exercise discretion regarding the need for supervisory input.

• Provide backup support or assist the supervisor with administrative responsibilities.

• Mentor and train fellow staff members while acting as a technical resource.

• Oversee, monitor, and assess eligibility for job-protected leaves including FMLA, CFRA, PDL, and PLOA.

• Offer guidance to clients and staff on leave requirements, regulations, company benefits, and internal leave policies.

• Process disability and paid family leave claims following established procedures.

• Collaborate with the relevant carrier to coordinate insured programs.

• Maintain strong relationships with clients and employees to achieve customer service objectives.

• Manage check-cycle payments and related procedures.

• Facilitate return-to-work strategies with claimants, providers, and clients.

• Respond to telephone claim inquiries from claimants, clients, and carriers within 24 hours.

• Deliver exceptional customer service.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

• Minimum of a high school diploma or GED.

• Over 5 years of prior experience in Leave of Absence and/or related disability fields.

• At least one year of experience in an administrative office setting (preferred).

• Organized, with the capability to accurately document files.

• Comprehensive understanding of Federal and Statutory regulations pertaining to FMLA, CFRA, and PDL.

• Ability to understand and integrate VDI, STD, and VDI benefits.

• Proficient in computer applications including Word, Excel, and Web tools.

• Effective verbal and written communication skills with employees, supervisors, and external providers.

• Capacity to educate and advise on sensitive and complex matters.

• Strong planning and organizational skills to handle multiple tasks in a high-volume, fast-paced environment.

• Competence in solving practical problems and interpreting written, oral, diagrammatic, or scheduled instructions.

• Understanding of Disability Plan Documents, SOC, and ERISA Guidelines.

• CPDM certification preferred.

• General knowledge of benefit taxability.

🏝️ Benefits

• Comprehensive health and wellness programs.

• Competitive salary and performance-based incentives.

• Opportunities for professional development and training.

• Flexible work schedules and remote work options.