layiq
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Sedgwick
New Albany, OH; New Albany, OH - Walton; Orlando, FL; Coralville, IA; Dublin, OH
Source: Sedgwick careers · View original posting
From Sedgwick's posting. “We” and “our” refer to the employer.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our Dynamic Centers of Excellence in the following locations -
✨ What we offer:
Your next big opportunity starts here - are you ready to join us?
PRIMARY PURPOSE : Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes.
Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations.
Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client.
Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system.
Maintains professional client relationships and provides excellent customer service.
Meets the organization’s quality program(s) minimum requirements.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
Employer posted: