Senior Integrated Absence Specialist
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Job Description
Senior absence specialist administering protected leave, disability, and paid-family-leave claims for TRISTAR ICS. Advising clients and coordinating benefits, carriers, payments, and return-to-work efforts.
Responsibilities:
- Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability, and Long-Term Disability claims
- Manage, track, and determine eligibility for job-protected leaves, including FMLA, CFRA, PDL, and PLOA
- Advise clients and staff regarding leave requirements, regulations, company benefits, and internal leave policies
- Administer disability and paid family leave claims according to established procedures
- Coordinate insured program coverage and administration with carriers
- Maintain relationships with clients and their employees to meet customer service goals
- Maintain and administer check-cycle payments and procedures
- Coordinate return-to-work efforts with claimants, providers, and clients
- Answer telephone claim calls from claimants, clients, and carriers within 24 hours
- Provide high-quality customer service
- Mentor and train staff and serve as a technical resource
- Back up or fill in for the supervisor on administrative tasks
- Perform other duties as assigned
Requirements:
- High school diploma or GED (minimum)
- 5+ years of prior Leave of Absence and/or related disability experience
- One year of experience in an administrative office environment (preferred)
- Ability to work efficiently with minimal active supervision
- Organized, with ability to document files accurately
- Thorough understanding of federal and statutory regulations regarding FMLA, CFRA, and PDL
- Ability to integrate leave programs with VDI, STD, and VDI benefits
- Computer proficiency in Word, Excel, and web applications
- Effective verbal and written communication with employees, supervisors, and external providers
- Ability to educate and counsel on sensitive and complex issues
- Planning and organization skills for multitasking in a high-volume, fast-paced environment
- Ability to solve practical problems and interpret written, oral, diagrammatic, or schedule-based instructions
- Comprehension of disability plan documents, SOC, and ERISA guidelines
- CPDM preferred
- General knowledge of benefit taxability
- Ability to follow attendance policy, maintain a consistent work schedule, and be punctual
- Ability to perform sedentary work and use standard office equipment
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