Specialist

Job Summary

• Location: Noida, Uttar Pradesh
• Working Schedule: Full-Time
• Work Arrangement: Hybrid
• Relocation Assistance Available: No

Responsibilities

• • Handle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures
• • Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee or employer through outgoing calls, email or other supporting systems.
• • Promptly review new FMLA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision.
• • Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc .
• • Update systems to accurately reflect leave status and ensure appropriate diary documentation exists
• • Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures
• • The position is expected to do absence management and adjudication on Federal, State and company leaves.
• • Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physician s office
• • Any other essential function that may occur from time to time as directed by the Supervisor.

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