Benefit & Leave Specialist

About the role

TouchCare is redefining how employees experience healthcare. As a leading healthcare advocacy and navigation company, we combine innovative technology with personalized, white-glove support to help members confidently navigate every aspect of the healthcare journey.

Responsibilities

• Manage a caseload of leave of absence requests from initial intake through return to work, for multiple employer groups.
• Serve as a trusted point of contact for members, providing compassionate guidance throughout the leave process.
• Educate members on federal, state, and employer leave programs, including:
• Federal Family and Medical Leave Act (FMLA)
• Americans with Disabilities Act (ADA)
• Paid Family & Medical Leave
• Short-Term Disability
• Employer-specific leave policies
• Cook with insurance carriers, healthcare providers, employers, and HR teams to facilitate leave administration.
• Review medical certifications and supporting documentation for completeness.
• Communicate leave status updates and reporting to employer clients while maintaining strict confidentiality and HIPAA compliance.
• Document all case activity accurately and thoroughly.
• Maintain monitoring of leave timelines, deadlines, and required follow-up actions.
• Partner with internal leadership to resolve complex member situations.
• Deliver exceptional customer service through proactive communication, empathy, and professionalism.
• Provide support during our clients Open Enrollment period by performing benefit consultations.
• Assist with Ancillary Claim submissions such as hospital indemnity, critical illness, accident, etc.
• Identify needs and support transitions to other areas of TouchCare’s Member Services team, when needs are identified relating to care coordination, navigation, appointment scheduling, billing/claims assistance - and more.
• Attend Client meetings (from time to time) to answer questions and discuss leave status of members.

Requirements

• Bachelor’s Degree preferred.
• 2+ years experience in healthcare, employee benefits, human resources, insurance, customer service, or leave administration is preferred.
• Previous leave of absence experience is preferred.
• Strong communication skills, both written and verbal.
• Excellent organizational and time management skills.
• Ability to manage multiple priorities in a fast-paced environment.
• High attention to detail and strong problem-solving abilities.
• Comfortable learning new technology and working across multiple systems.
• Ability to handle confidential and sensitive information with professionalism.

Qualifications

• Compassionate and enjoy helping people through difficult situations.
• Naturally organized and detail-oriented.
• Curious and enjoy learning new things.
• Calm under pressure.
• A team player who also works well independently.
• Accountable, dependable, and proactive.
• Someone who enjoys building relationships and providing outstanding service.

Skills

• Exceptional customer service skills.
• Proactive communication and empathy.
• Strong problem-solving abilities.
• Attention to detail.
• Confidentiality and HIPAA compliance knowledge.
• Knowledge of leave administration and benefits.
• Ability to work with multiple systems and technologies.

Benefits

• Comprehensive medical, dental, and vision benefits.
• Generous Paid Time Off.
• Company-paid holidays.
• Ongoing training and professional development.
• Supportive and collaborative team culture.
• Opportunities for career growth within a rapidly expanding organization.

Pay

Compensation is commensurate with experience.

Schedule

The position is full-time.