FMLA Claims Specialist

at  ComPsych Corporation

About ComPsych:
ComPsych® Corporation is the world’s largest provider of mental health services and GuidanceResources® for life. Fueled by a commitment to relentless innovation and a comprehensive approach to care, ComPsych provides services to more than 78,000 organizations and 163 million individuals across 200 countries. Under our GuidanceResources® brand, our personalized and fully integrated programs include behavioral health, absence management, 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:
FMLA Claims Specialists are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. This individual will report to a Claims Team Lead and must have strong attention to detail, clerical/administrative experience, and commitment to quality.

Primary Responsibilities:

• Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies
• Provide accurate, professional, and timely responses to communications from internal and external partners
• Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence
• Maintain complete and accurate documentation of leaves within our proprietary database
• Correspond with clients regarding leave status and assist with decision making
• Process reports for clients and short term disability partners
• Input and analyze data
• Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times.
• Meet and adhere to production and quality goals as well as performance metrics.
• Responsible and accountable for maintaining and protecting personal, confidential claimant health information. Must maintain a high level of confidentiality and abide by HIPAA rules and regulations.
• Engage in ongoing education and training around laws, policies and service delivery.
• Support management with special projects as necessary
• Other duties as assigned

Job Qualifications:

• Bachelor’s Degree preferred, High School Degree or equivalent required
• 1+ years of human resource, claim management or leave and disability experience
• Exceptional verbal and written communication skills, with a strong focus on customer service
• Proficiency in Microsoft Office Suite
• Quick thinking, high energy, positive, and professional with demonstrated multi-tasking and critical thinking skills
• Strong time management and deliverable ownership
• Ability to work independently
• Strong attention to detail
• Good analytical skills
• Bilingual Spanish is a plus
• High-speed internet and a professional workspace that is free from distraction, disruption or outside noise

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

• Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies
• Provide accurate, professional, and timely responses to communications from internal and external partners
• Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence
• Maintain complete and accurate documentation of leaves within our proprietary database
• Correspond with clients regarding leave status and assist with decision making
• Process reports for clients and short term disability partners
• Input and analyze data
• Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times.
• Meet and adhere to production and quality goals as well as performance metrics.
• Responsible and accountable for maintaining and protecting personal, confidential claimant health information. Must maintain a high level of confidentiality and abide by HIPAA rules and regulations.
• Engage in ongoing education and training around laws, policies and service delivery.
• Support management with special projects as necessary
• Other duties as assigne