Sr. Integrated Absence Specialist

Job DetailsLevel: ExperiencedJob Location: Signal Hill Office - Signal Hill, CA 90755Position Type: Full TimeEducation Level: High School Diploma or GEDSalary Range: $66,000.00 - $71,000.00 Salary/yearTravel Percentage: NoneJob Shift: DayJob Category: Admin - ClericalPOSITION SUMMARY:  Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability and Long-Term Disability Claims in accordance with TRISTAR ICS protocols.

 

DUTIES AND RESPONSIBILITIES:

 

This position may perform some or all of the duties listed below:

 


Can operate efficiently with minimum need for active supervision
Exercises good judgment about when to ask for supervisory intervention or otherwise surface issues
Can back up/fill in for the supervisor on many administrative tasks
Acts as a mentor/trainer for other staff and is a technical resource
Manages, tracks, and determines eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i.e. FMLA, CFRA, PDL, PLOA)
Acts as a resource to clients and staff regarding the requirements and regulations of the above-mentioned leaves with company benefits and internal leave policies
Follow established procedures and policies to administer disability/PFL claims in a timely and efficient manner.
Coordinate coverage and administration of insured programs with the appropriate carrier.
Establish and maintains rapport with clients and their employees to ensure customer service goals are met.
Maintain and administer appropriate check cycle payments and procedures.
Coordinate return to work efforts with claimant, provider, and client
Answer all telephone claim calls from claimants, clients and carriers within 24 hours.
Provide highest quality of customer service.
Follow attendance policy: consistency in work schedule and punctuality.
All other duties as assigned.


 

 

EQUIPMENT OPERATED/USED: Computer, 10-key, copier, printers, fax, postal meter, telephone switchboard and other office equipment.

 

 

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire.

 
QualificationsQUALIFICATIONS REQUIRED:      

 

Education/Experience:  High school diploma or GED (minimum).  One (1) year experience in administrative office environment (preferred). 5+ year prior Leave of Absence and/or related disability experience.

 

Knowledge, Skills and Abilities:         


Must be organized and possess the ability to document files accurately.
Must have a thorough understanding of Federal and Statutory regulations regarding FMLA, CFRA, and PDL.
Ability to comprehend and integrate the above programs with VDI, STD, and VDI benefits.
Computer proficient in Word, Excel, and Web applications.
Ability to effectively communicate, both verbally and in writing, with employees, supervisors, and external providers using tact and diplomacy when expanding decisions.
Ability to educate and counsel on sensitive and complex issues.
Good planning and organization skills to multitask in a high volume and fast paced work environment.
Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Comprehension of Disability Plan Documents, SOC and ERISA Guidelines.
CPDM Preferred
General Knowledge of Benefit Taxability.


 

Other Qualifications: 


None


          

Here are some of the benefits you can enjoy in this role:


Medical, Dental, Vision, Disability & Life Insurance
401(k) plan
Paid time off
Paid holiday


 

 

 

 

 

 

 

 

 

 

 

 

 





                             MENTAL AND PHYSICAL REQUIREMENTS




1.  MENTAL EFFORT

 

a.  Reasoning development::

 

 X      Follow one- or two-step instructions; routine, repetitive task.

 

 X      Carry out detail but uninvolved written or verbal instructions; deal with a few concrete

          variables.

 

 X      Follow written, verbal, or diagrammatic instructions; several concrete variables.

 

 X      Solve practical problems; variety of variables with limited standardization; interpret instructions.

 

        Logical or scientific thinking to solve problems; several abstract and concrete variables.

 

        Wide range of intellectual and practical problems; comprehend most obscure concepts.




b.  Mathematical development:

 

 X      Simple additional and subtraction; copying figures, counting, and recording.

 

 X      Add, subtract, multiply, and divide whole numbers.

 

 X      Arithmetic calculations involving fractions, decimals, and percentages.

 

          Arithmetic, algebraic, and geometric calculations.

 

          Advanced mathematical and statistical