Integrated Claims Specialist – Leave of Absence/Disability

AbSolve Absence Solutions, an Alera Group Company is seeking an Integrated Claims Specialist – Leave of Absence/Disability to join our Mount Laurel, NJ team. 

Alera Group was founded in 2017 and has grown to become the 14th largest broker of US business. We are passionate about our clients' success in the areas of Employee Benefits, Property and Casualty Insurance, Retirement Plan Services, and Wealth Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service. 

Absolve is a leading provider of absence and disability solutions for large employers. Our proprietary disability and claims management process provides employees with expert support during their leave. Rest assured that each employee's case will be managed consistently, in compliance with federal and state leave law. Our focus is creating healthier, more productive workforces by reducing the amount of time employees miss work due to unscheduled absences.

When leaves are unavoidable, our team takes care of them from beginning to end. It is our commitment to make employees out on leave feel supported and ensure that they get their benefits as quickly and easily as possible.

In a telephonic customer service environment, the Integrated Claims Specialist – Leave of Absence/Disability works as part of the claims team ensuring accurate and timely processing and payment of all FMLA, New York Paid Family Leave, as well as New York and New Jersey Short-term Disability claims while providing an exceptional customer experience from start to finish. Integrated Claims Specialist – Leave of Absence/Disability are the "first response" for employees in need and must demonstrate a caring, responsive, and problem-solving attitude at all times while assigned to our Customer Service telephone queue. They are responsible for understanding and correctly communicating Federal and State leave laws and disability policy benefits to Human Resource partners and claimants. 

Serve as the first point of contact for employees initiating disability and leave claims; gather, verify, and accurately enter all required information into the claims system while ensuring eligibility and compliance with applicable laws

Approve and process claims within authorized limits, calculate benefits, communicate decisions, and maintain thorough documentation while adhering to regulatory and internal timeframes

Provide empathetic, confidential assistance to employees; ensure HIPAA compliance, de-escalate concerns professionally, and coordinate with management and senior staff to ensure accuracy and quality of service

Claims experience (i.e. FMLA, LOA, or Disability)

College degree from an accredited college and/or a minimum of three years general business or customer service experience is preferred in an insurance setting. This prior experience should demonstrate solid organization, communication, negotiation, and decision-making skills

Requires excellent investigative, analytical, and multi-tasking abilities in a fast-paced environment

Ability to maintain scheduled deadlines and work well with others as part of a cohesive team of caring individuals

Must exhibit strong skills in technology to include keyboarding and familiarity with word processing software, electronic communications, and Internet research capabilities

Excellent written and verbal communication skills

Must possess high levels of fiduciary responsibility, self-accountability, attention to detail, and professionalism both over the telephone and in all written communications

This job requires presence in the office full-time for training and then on a hybrid schedule as agreed with the manager.

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.

Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.

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