FMLA Claims Consultant

at  ComPsych Corporation

About ComPsych:
ComPsych® Corporation is the world’s trusted leader in mental health and GuidanceResources® for life. Fueled by a commitment to relentless innovation and a comprehensive approach to care, we provide services to more than 139 million individuals across 200 countries, making us the largest provider of mental health services worldwide. Under our GuidanceResources® brand, our personalized and fully integrated programs include behavioral health, absence, and wellness journeys, which empower employees to lead healthier and more productive lives, while driving organizational excellence. Visit compsych.com to find out why 40% of the Fortune 500 choose ComPsych for their mental health needs.
Job Summary:

JOB SUMMARY

The FMLA Claims Consultant will maintain a book of business and will be the point of contact for the Human Resources regarding their inquiries, for claim status, questions, and expedited processing etc. The Claims Consultant will provide efficient and professional follow-up via phone or email to ensure timely response to the Human Resources inquiries. They will also work closely with the Account Manager to identify the Client’s needs and education on concepts and leave policies. From time-to-time this individual will participate in client facing meetings along with the Account Manager.
Primary Responsibilities:

JOB QUALIFICATIONS

• 1-3+ years in Customer Service, Claims or Email Support experience required within ComPsych
• Exceptional communication and organization skills, with strong focus on customer service
• Quick thinking, resourceful, high energy, positive, and professional, with demonstrated multi-tasking and critical thinking skills
• Be in good standing – not currently on a performance improvement plan
• Attention to detail with excellent quality is a mustComputer literate and proficient in Microsoft Office Suite

Benefits and Perks:

• Full benefits package, including Paid Time Off (PTO), medical, dental, vision, 401(k) with match, robust EAP, wellness program, and much more
• Competitive pay with annual increases

• Be the point of contact for the Human Resources team regarding their inquiries for claims status, questions, expedited processing etc.
• Provide efficient and professional follow-up via phone or email to ensure the timely delivery of Human Resources inquiries
• Work with Account Manager to identify the Clients need and education on leave concepts
• Review imperfections in order to provide recommendations to the Operations team on training or CPP language in order to assist in reductions of imperfections
• Demonstrate respect, sensitivity, confidentiality, and understanding regarding the circumstances while maintaining professionalism at all times
• Provide immediate acknowledgment of email inquiry received and provide solution within 2 business day
• Participate in client facing meetings along with Account Manager
• Be the Operations subject matter expert regarding our processes
• If client is put into a Save for Letter Audit, facilitate audit and provide results
• Prioritize and organize daily responsibilities in order to meet all deadlines
• Engage in ongoing education and training around laws, policies and service delivery
• Create a white glove experience for the client
• Provide innovative ideas that can support the ongoing growth of the FMLA Department
• Support Claims Operations:
• Administer and adjust Family Medical Leave Act (FMLA), State, ADA, and company leaves as mandated by state and federal guidelines and in coordination with our customer’s policies
• Maintain complete and accurate documentation of leaves within our proprietary database
• Other duties as assigned
  Job Qualifications: