Remote Claims Specialist

Job Summary

A company is looking for a Remote Claims Specialist who will manage a caseload of leave program claims.

Key Responsibilities

• Review and investigate claims related to FMLA, PFL, and ADA, gathering data from relevant parties
• Adjudicate claims in compliance with regulations and policies, ensuring productivity and quality standards are met
• Document claim decisions and coordinate necessary accommodations and return-to-work processes

Required Qualifications

• High School degree or equivalent
• Minimum of 1 year experience with FMLA and/or PFL claims
• Exposure to issues within FMLA and/or PFL with experience in generating solutions
• Strong analytical and decision-making skills
• Proficiency in a PC environment, including MS Word and Excel