FMLA Leave Associate
Location: Eden Prairie Minnesota
Description: Cigna is at present looking to employ FMLA Leave Associate right now, this job will be placed in Minnesota. More complete informations about this job opportunity please read the description below. Job Description
Entry-level support position, requiring guidance and training. Manages assigned caseload of disability claims for long- term disability. Under close supervision, inputs claimant medical and demographic data; evaluates claimant eligibility; develops plan to address disability obstacles and plans with claimants, attending physician and employer; monitors medical condition of cla! imant, discusses return to work with employer; integrates individual rehab/return to work plans into ongoing medical treatment; monitors social security decisions and other disability income benefits; decides payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure. .
Manage all absence requests within appropriate service metrics.
Respond to all customer inquiries within time standards.
Conduct an evaluation of all absences, including a review of all medical information, and determine whether to approve or deny.
Obtain a medical review from a Nurse Case Manager when necessary.
Identify when additional information is required to make a decision on an absence request and gather the information.
Provide all necessary communication to all parties including employees, policyholders, health care providers and other internal team members.
Meet all service & performance metrics an! d expectations.
Adhere to all legal/compliance requir! ements.
Maintain FMLA and absence information in the system, including comprehensive activity notes. Provide reports detailing essential information on open and closed absences.
Identify escalated cases and develop a plan to address key issues.
Skills
Priority Setting: Spends his/her time and the time of others on what's important and not the trivial;
Can quickly sense roadblocks and focuses on the goal at hand.
Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; strives to get more done in less time. Ability to multi-task
Communication Skills: Is able to speak and write clearly and succinctly in any situation. Is able to convey messages verbally in an assertive, logical, empathetic and understandable way. .
Requirements
High School Diploma or equivalent required. BA degree preferred.
Prior customer service related work experience required
Call center experience preferred
Prior FMLA or Disability Claims experience (preferred)
Customer Focus
Drive for Results
Functional/Technical Skills
Learning on the Fly
Peer Relationships
Problem Solving .
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Sun, 23 Feb 2014 18:32:29 GMT