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 FMLA, PFL, ADA, and other leave claims through communication with relevant parties
• Adjudicate claims in accordance 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 various issues within FMLA and/or PFL
• Solid analytical and decision-making skills
• Ability to interpret and communicate leave regulation language