Integrated Claims Examiner- Leave of Absence job at Matrix Absence Management in Hawthorne

Matrix Absence Management is at present recruited Integrated Claims Examiner- Leave of Absence on Thu, 30 May 2013 05:48:35 GMT. DESCRIPTION Integrated Claims Examiner will evaluate eligibility and maintain a caseload of more complex FMLA and Integrated FMLA and Disability cases. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc. to gather the information to make the decision on the claim. DUTIES *Candidate will determine eligibility under...

Integrated Claims Examiner- Leave of Absence

Location: Hawthorne, New York

Description: Matrix Absence Management is at present recruited Integrated Claims Examiner- Leave of Absence right now, this job will be situated in New York. For detail informations about this job opportunity kindly see the descriptions. DESCRIPTION

Integrated Claims Examiner will evaluate eligibility and maintain a caseload of more complex FMLA and Integrated FMLA and Disabi! lity cases. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc. to gather the information to make the decision on the claim.

DUTIES

• Candidate will determine eligibility under federal and state requirements for leaves submitted.
• Medical certification review and management supplied by the healthcare provider.
• Determining the duration associated with the leave based on the information given by the healthcare provider.
• Communicating approvals, denials, leave extensions, return to work plans and other important information regarding the leave to the employee and client.
• Managing leaves that are concurrent with Short Term Disability and Workers' Compensation.
• Managing intermittent, continuous and client specific leaves of absences.
• Processing all leaves within the specific timeframes outlined within Matrix Best Practices guide! lines.
• Analyzes, approves or denies Disability claims! for contestable and non-contestable cases.
• Provides technical direction to other claims personnel as needed.
• Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.

Other duties as assigned.

QUALIFICATIONS

• 3 or more years of Disability Claims Administration experience.
• Minimum Bachelor's Degree required or 5 years of requisite industry experience.
• Thorough knowledge of ERISA regulations and Self Insured Disability Plans.
• Ability to manage the medical aspects of a claim from onset to return to work, utilizing industry standard tools and strategies.
• Working knowledge of Federal and State Leave Laws.
• Excellent organizational and time management skills.
• Strong written and communication skills demonstrated in previous work experience.
• Specific experience with collaborative negotiations.
• Proven skills ! in positive and effective interaction with challenging customers.
• Experience in effectively meeting/exceeding individual professional expectations and team goals.
• Demonstrated analytical and math skills.
• Ability to exercise sound judgment.
• High level of flexibility to adapt to the needs of the organizations.
• PC skills preferred (i.e. Windows based environment).

Matrix Absence Management is a nationwide company that partners with employers to provide customized management of disability, workers' compensation and family leave programs.

We service a wide range of nationwide clients. Our clients include Fortune 500 companies, Technology sector leaders, Service Companies, Manufactures, Bio Tech, Utilities and Healthcare. *Candidate will determine eligibility under federal and state requirements for leaves submitted.

• Medical certification review and management supplied by the healthcare provider.
Determining the duration associated with the leave based on the info! rmation given by the healthcare provider.
• Communicating approvals, denials, leave extensions, return to work plans and other important information regarding the leave to the employee and client.
• Managing leaves that are concurrent with Short Term Disability and Workers' Compensation.
• Managing intermittent, continuous and client specific leaves of absences.
• Processing all leaves within the specific timeframes outlined within Matrix Best Practices guidelines.
• Analyzes, approves or denies Disability claims for contestable and non-contestable cases.
• Provides technical direction to other claims personnel as needed.
• Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.

Other duties as assigned.
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If you were eligible to this job, please deliver us your resume, with salary requirements and a resume to Matrix Absence Management.

Interested on this job, just click on the Apply button, you will be redirected to the official website

This job will be opened on: Thu, 30 May 2013 05:48:35 GMT

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