Absence Management Specialist
4 weeks ago
The Absence Management Specialist will act as a liaison between client, employee, and healthcare provider. In this position, you are responsible for applying appropriate claims management by providing reliable and responsive service to claimants and clients.
Key Responsibilities:
- Investigate claim issues and provide resolution within departmental and regulatory guidelines.
- Interpret and administer contract provisions, including eligibility and duration.
- Accurately code all system fields with correct financial, diagnosis, and duration information.
- Coordinate with other departments to ensure appropriate claims transition or facilitate timely return to work.
- Adhere to compliance, departmental procedures, and Unfair Claims Practice regulations.
- Contribute to customer service, quality, and performance objectives.
- Engage in departmental training to remain current with all claim management practices.
- Manage Performance Guarantee clients and meet targeted metrics.
- Maintain and protect personal health information, adhering to HIPAA rules and regulations.
- High School Diploma or GED (Bachelor's preferred)
- Ability to develop proficiency in required RSL products, systems, and processes related to the effective delivery of new business proposals
- Microsoft Office experience
- Attention to detail, analytical skills, and the ability to collaborate with others and work independently
- Strong organizational skills, including the ability to prioritize work and multi-task
- Customer service experience and orientation
- Written and verbal communication skills
At Reliance Matrix, we believe that creating a more diverse, equitable, and inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you.
That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing.
Our Benefits:
- An annual performance bonus for all team members
- Generous 401(k) company match that is immediately vested
- A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account
- Multiple options for dental and vision coverage
- Company-provided Life & Disability Insurance to ensure financial protection when you need it most
- Family-friendly benefits, including Paid Parental Leave & Adoption Assistance
- Hybrid work arrangements for eligible roles
- Tuition Reimbursement and Continuing Professional Education
- Paid Time Off, volunteer days, community partnerships, and Employee Assistance Program
- Ability to connect with colleagues around the country through our Employee Resource Group program and our Diversity Equity & Inclusion Council
- Integrity
- Empowerment
- Compassion
- Collaboration
- Fun
Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age, or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications.
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