Medical Claims Representative – Paid Family Leave/Disability

Responsibilities

• Communication, coordination, and administration of Paid Family Leave/Disability Claims within the state of New York.
• Determination of compensability and the prompt provision of benefits.
• Working as a liaison between the employer and employee to provide information about Paid Family Leave/Disability.
• Informing employers on the proper management and impact of Paid Family Leave/Disability claims.

Requirements

• Proficiency in understanding medical and legal terminology.
• Computer Literacy with strong Microsoft Office capabilities.
• Strong attention to detail and focus on technology.
• A solid commitment to providing exceptional customer service.
• Excellent communication and organizational skills.
• A High School Diploma/GED is required.
• Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.
• The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements.