PR Delivery Specialist
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Job Description
Leave claims specialist managing appeals, escalations, and absence cases for Alight, a benefits administration provider. Preparing claim documentation, coordinating stakeholders, and delivering client reports.
Responsibilities:
- Manage leave claims, appeals, escalations, and project tasks
- Collaborate with clients, internal teams, and vendors to ensure smooth service delivery
- Resolve employee issues and escalations with client managers and end clients
- Prepare comprehensive appeal packets summarizing case history and documentation
- Maintain leave information for assigned accounts while managing customer relationships and expectations
- Provide total claim management, including pay and leave instructions
- Obtain and review updated medical evidence supporting leave
- Review eligibility guidelines
- Track stand-alone leaves and leaves running concurrently with FMLA, Workers’ Compensation, and Short-Term Disability
- Resolve problems within scope of authority and escalate other issues to the manager
- Support the Intake/Customer Service team in the Call Center as needed
- Prepare monthly and quarterly activity reports, including case-management information, for management review before client delivery
- Focus on continuous improvement and excellent client service
Requirements:
- Equivalent experience accepted as an alternative to a bachelor’s degree in business
- Bachelor’s degree in business
- Ability to learn and apply new skills
- High attention to detail and accuracy
- Verbal and written communication skills
- Ability to work independently with minimal supervision
- MS Excel and Word skills
- Ability to navigate Alight’s proprietary systems and web-based tools
- Knowledge of and experience in leave-of-absence processing and customer service functions
- Advanced customer service principles
- Knowledge of telephone etiquette
- Ability to interact professionally with executives, managers, legal professionals, and subject matter experts
- Ability to continually prioritize work and efficiently produce significant volumes of work within performance standards
- Work authorization in the Employing Country without current or future visa sponsorship
- Successful completion of a background check, as applicable to the position
- Ability to participate in video-based virtual interviews with camera on
Benefits:
- Health, dental and vision coverages starting Day One
- Wellbeing programs
- Retirement plans with contribution matching
- Generous time off
- Parental leave
- Continuing education
- Career growth opportunities
- Flexible working arrangements wherever possible
- Competitive total rewards package
- Continuing education and training
- Potential to work within a growing worldwide organization
- Reasonable accommodations for persons with disabilities and sincerely held religious beliefs, practices and observances
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