Customer Service Rep - Claims
: Job Details :


Customer Service Rep - Claims

Axelon Services Corporation

Location: Oriskany,NY, USA

Date: 2024-11-27T11:41:46Z

Job Description:
Job Description: **Candidate must be local to Oriskany, NY - Hybrid role in-office ****Max pay rate 20/hr**Training will be in-office: after training only required to come into the office once a month, or on an as needed basis (if electricity or internet goes out).Training will be about 4 weeks.Position Requirements:1-2 Years of customer service experience/phone experience, or equivalent. Will accept customer facing experience as well (fast food, etc.)- Requires a high school diploma or equivalent- Basic computer literacy - Microsoft office experience- Attention to detailJob Description:
  • Handle intake calls for FMLA claims and leaves or paid family leave.
  • Determine eligibility for FMLA and other leaves during intake call.
  • Promptly review new FMLA and Company Leave (Bereavement, Jury Duty, Etc.) notices and act upon them within documented timeline standards.
  • Complete eligibility decisions during intake.
  • Gather pertinent data when necessary from employee or other supporting systems.
  • Identify and evaluate leave specifics and make initial case decisions - approve or deny.
  • Perform leave follow-ups as required with employee, employer or healthcare provider. This may include recertification of a serious health condition, intermittent claim tracking, confirmation of actual return-to-work, etc.
  • Perform standard communication (phone calls, emails, and letters) to appropriate parties throughout the duration of the leave.
  • Consistently updates FML and Leave applications to accurately reflect leave status and ensure that appropriate diary documentation exists.
  • Respond to employee and employer inquiries regarding the status or availability of FML and Company leave.
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