Absence Management Specialist

Portland, OR, United States

Absence Management Specialist page is loaded Absence Management Specialist Apply locations Portland, OR posted on Posted 4 Days Ago job requisition id R2011 Job Responsibilities and Requirements The Claims Examiner 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.

Duties and Responsibilities:

Investigates claim issues providing resolution within departmental and regulatory guidelines.

Interprets and administers contract provisions: eligibility and duration.

Accurately codes all system fields with correct financial, diagnosis and duration information.

Coordinates with other departments to ensure appropriate claims transition or facilitates timely return to work.

Document claim updates in the claim database ensuring accuracy.

Maintaining departmental and policyholder expectations.

Adheres to compliance, departmental procedures, and Unfair Claims Practice regulations.

Actively contributes to, and maintains, customer service, quality and performance objectives.

Proactively engages in departmental trainings to remain current with all claim management practices.

Responsible for managing Performance Guarantees for assigned clients, and meet targeted metrics.

Responsible and accountable for maintaining and protecting personal, confidential claimant health information. Must maintain a high level of confidentiality and abide by HIPPA rules and regulations.

Other responsibilities may be assigned as needed.

Essential Job Requirements:

Strong communication skills both written and verbal. Willingness to communicate regularly with claimants, clients, and intercompany colleagues across the organization as needed.

Desire to work in a fast-paced, energetic environment, in a customer-facing role.

Ability to act with empathy and care in all interactions on a daily basis. · Demonstrated proficiency in using a personal computer for routine tasks such as email (Outlook), reports (Excel), and general aptitude to learn proprietary disability software platforms.

Ability to synthesize and analyze data and information.

Ability to complete assigned tasks and projects in a timely manner, adhering to deadlines.

Must maintain prompt a nd consistent, predictable attendance, with ability to work assigned daytime shifts 5 days per week. Ability to work overtime as business demands.

Ability to interact with employees of all levels and clients in an appropriate manner.

Ability to concentrate and remain focused on tasks throughout the day and think strategically.

Essential Physical/Cognitive Job Functions: Prompt and regular attendance at assigned job locations

Ability to work shifts exceeding 8 hours, 5 days per week

Ability to interact with employees of all levels and clients in an appropriate manner

Ability to concentrate and think strategically

Availability onsite to confer with staff members with whom the incumbent must interact on a daily basis

Ability to proficiently use a personal computer for tasks such as email and preparing reports using software

Ability to review and analyze data and information

Ability to complete, or oversee the completion of, assigned tasks/projects in a timely manner

Work location may be flexible if approved by the Company .

What We Offer 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

Our Values:

Integrity

Empowerment

Compassion

Collaboration

Fun

EEO Statement

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.

#LI-Hybrid About Us Reliance Matrix delivers employee benefits, absence management and workforce productivity solutions through the financial stability of a top-rated insurance carrier, the agility and innovative spirit of a Third Party Administrator (TPA), and the daily commitment of thousands of team members across America. Where larger competitors offer size, we inspire confidence and long term engagement through integration, reliability and dedication to providing customized solutions.

Reliance Matrix innovates and provides technology-driven absence and benefit solutions that enable employees and employers to manage time away from work.

We help employers attract and retain valuable human capital through thoughtful, inclusive benefit programs delivered with care.

We bring top-tier regulatory knowledge and cutting edge technology to help optimize workforce productivity and compliance.

We offer a seamless member experience customized to each individual’s need and event.

We integrate our solutions and expertise with leading HR technologies to ensure accuracy, efficiency and a superior customer experience.

We are a proud member of the global Tokio Marine Group, one of the oldest, largest and most respected insurance organizations in the world.

In the business hierarchy, human capital is the most precious of assets. Reliance Matrix delivers comprehensive, integrated solutions and services to attract, protect and help optimize an employer’s work force in a changing, challenging world.

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