Rep, Benefit Adjuster III Leave Services

Evaluates, processes, manages and/or audits claims that require complex judgement and investigation such as PFML/FMLA, Short Term Disability claims requiring claim management, Permanent and Total Disability claims or claims requiring Pre-Existing investigation is in accordance with Company policy terms, insurance laws, regulatory requirements, department standards and adjusting guidelines. Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Bachelor's degree from four-year college or university preferred; equivalent business experience accepted 3-5 years experience Experience processing FMLA/PFML benefits and processing Disability Claims Prompt and reliable Advanced knowledge of medical terminology (not required for Life processing) Proficient with PC Windows-based software, including Microsoft Office Easily adapts to new software/technology applications and is able to excel in a paperless environment Advanced knowledge of anatomy and physiology (not required for Life processing) Advanced contract knowledge Advanced familiarity with CPT and ICD-10 coding (not required for Life processing) Possesses high degree of decision making ability Strong research and analytical skills Flexible work schedule, including willingness to work overtime as needed Strong communication skills, both verbal and written Ability to handle fast-paced environment Professional attitude Dedicated to providing world-class Customer service Ability to work well within a team environment