Claim Specialist

Job Title: Claim Specialist

Location: Primarily remote - Must be in a commutable distance to the Bloomfield, CT or Oriskany, NY office - in office once a month

Global Operations (Global Ops) focuses on creating positive experiences for client customers and helping the company make the best use of its global resources. The Absence Management Claim Specialist is a fast-paced ever-changing environment in which client strives to create and maintain collaborative solutions for our customers’ leave landscape. We’re looking for unique talent with fresh perspectives that can propel innovation. In this role, you would be responsible for managing a combination of leaves. These leave types include, but are not limited to, Americans with Disabilities Act (ADA), Family and Medical Leave Act (FMLA), Paid Family and Medical Leave (PFML), and Benefit Calculated Employer Leave (BCEL) claims.

Required Qualifications

• Strong communication skills, both written and oral.

• Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.

• Strong Letter writing/Microsoft Word

• Strong Computer Skills

• 1-4 years Customer Service background (retail backgrounds welcome)

• High School Diploma

Key Responsibilities

• Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc.

• Reviewing and adjudicating leave and/or accommodation requests in compliance with federal, state and company policies.

• Establishing eligibility and applicability of leave requests while ensuring timely communication with employees, employers and other key stakeholders necessary to appropriately determine liability.

• Maintain active oversight of leave claims from initiation to closure following appropriate policies and procedures around timely submission of information and absences in accordance with the plan(s).

• Providing exceptional customer service while maintaining confidentiality and regulatory compliance requirements.

• Support a continuous focus on quality and continuous improvement by ensuring efficiency, accuracy and a positive claimant experience.

• Meeting and exceeding Key Performance Indicators and productivity metrics while maintaining quality.