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Update LTD claims for Social Security Award status.
Audit and sign-off on coworkers' LTD calculation sheets. + Coordinate pay on approved workers' compensation cases with carrierandmaintainclaims in leave management system.
Determineandestablishaccuratecoding of unpaid (FMLA, ADA, WC)and paid (STD, PPL, LTD) leavesinHRISsystem. + Ensureaccurateapplication of state offsets,maintainoffset calculators,and continuouslymonitor forany changes in offset amounts or the inclusion of new states. + Coordinate with 3rdparty vendor for claim administration and lost time for Canadian leaves. + AssisttheNurse Case Managerin gathering all case materialstopreparean appeal before theWelfare PlanCommittee. + As needed, work withHRlegal department in drafting employeedisability communications. + CompleteannualLTD audit. + Perform Iron Mountain File archiving. + Provides training and support to Managers for any leaves related issue. + Deliversongoing training to HR Support Lineagents. + Troubleshoots andassistswith leave management system;collaborate on resolution plans. + Create, audit, anddistribute reports as needed. + Triageand addressnon-clinicalJira tickets. + Managefax server documents/email inbox (Absence Management,Workers' Compensation, Fitness Center). + Coordinateinvoices/bill payments. + Manageandschedule all meetings. Draft and circulate meeting agendas and minutes. + Respond to all department subpoenas and requests for Absence Management documentation. + Complete all requests for disabilitypayinformation on state disability forms. + Complete special projects, and travel, as assigned.
This includes assisting with projects within the Benefits department.
PB
Pitney Bowes
Claims Examiner - Leave Administration
Career Insights for Claims Examiner (General)
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Scorecard
Based on Connecticut data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$86,468 / year median in Connecticut
+3% projected growth
Job Description
- We're hiring at Pitney Bowes, where top talent builds meaningful careers and lasting impact. We Move fast, Deliver excellence, and Win together…that's The Pitney Bowes way. Here, how we work matters just as much as what we achieve.
- We're looking for people who: + Act with urgency, accountability, and purpose + Deliver high quality work with consistency and pride + Collaborate effectively and elevate those around them + Focus on outcomes that drive impact and growth
Job Description:
- You are:
- The Leave Administation Specialist for non-occupational and workers' compensation leaves, responsible for the proactive management of claims.
- You will:
- + Autonomously manage a dailytask listwithin turnaround time expectations.
FMLA, PPL, STD
(Preg/Maternity cases), and WC programs. + Support Nurse Case Manager in administering leaves underSTD, LTD, FMLA, PPL, ADA, and WC Programs. + Interpret and correctly apply provisions of STD, LTD, FMLA, PPL, ADA, and WC Plans. + Determineif requested time-off is within acceptable guidelines. Request medical records from attending physician,completingnon-complexoutreach to physician offices,and consultingwith nursing staff. + Supportthe Nurse Case Manager inthereturn-to-work process withtheemployee, human resources, supervisor, andthird-partyvendoruntilthe employee isreleasedtofull duty. + Assist LTD claimant with Social Security filing(s) and Medicare approval.Update LTD claims for Social Security Award status.
Audit and sign-off on coworkers' LTD calculation sheets. + Coordinate pay on approved workers' compensation cases with carrierandmaintainclaims in leave management system.
Determineandestablishaccuratecoding of unpaid (FMLA, ADA, WC)and paid (STD, PPL, LTD) leavesinHRISsystem. + Ensureaccurateapplication of state offsets,maintainoffset calculators,and continuouslymonitor forany changes in offset amounts or the inclusion of new states. + Coordinate with 3rdparty vendor for claim administration and lost time for Canadian leaves. + AssisttheNurse Case Managerin gathering all case materialstopreparean appeal before theWelfare PlanCommittee. + As needed, work withHRlegal department in drafting employeedisability communications. + CompleteannualLTD audit. + Perform Iron Mountain File archiving. + Provides training and support to Managers for any leaves related issue. + Deliversongoing training to HR Support Lineagents. + Troubleshoots andassistswith leave management system;collaborate on resolution plans. + Create, audit, anddistribute reports as needed. + Triageand addressnon-clinicalJira tickets. + Managefax server documents/email inbox (Absence Management,Workers' Compensation, Fitness Center). + Coordinateinvoices/bill payments. + Manageandschedule all meetings. Draft and circulate meeting agendas and minutes. + Respond to all department subpoenas and requests for Absence Management documentation. + Complete all requests for disabilitypayinformation on state disability forms. + Complete special projects, and travel, as assigned.
This includes assisting with projects within the Benefits department.
- Your Background
- As a
- Leave Administrative Specialist
- , you have
- :•+ 5+yearsclaims processing experiences within an insurance company or third-party administrator.
Compensation:
- The hourly wage range for this position is $32-$36 per hour. Actual compensation will be based on skills and experience as they relate to the job requirements and the location where you will be performing the job.
Location:
- Employees residing within 1hour driving distance of Shelton are required to travel to local office(s) as assigned, minimum four days per week. Subject to change based on business needs.
- S•ponsorship•:•Must be legally authorized to work in the US.
- We will:
- Provide the opportunity to grow and develop your career
- Offer an inclusive environment that encourages diverse perspectives and ideas
- Deliver challenging and unique opportunities to contribute to the success of a transforming organization
- Offer comprehensive benefits globally (PB Benefits and Wellbeing Programs) (https://pitneybowes.