Leave and Disability Examiner

About the Role

As a Leave and Disability Examiner, you will be responsible for reviewing and evaluating disability and leave claims, analyzing medical documentation, and communicating claim decisions to employees, employers, and providers. You will also be expected to maintain thorough documentation and ensure timely processing of claims, all while delivering a high-quality customer experience.

The company's high-performance culture is focused on operational excellence and thrives thanks to remarkable people united by compassion and a customer-first commitment. If you are a motivated and detail-oriented individual who is passionate about making a difference in the lives of others, this could be the ideal role for you.

What You Will Do

• Review and evaluate disability and leave claims to determine eligibility and benefit entitlement
• Analyze medical documentation and gather required information from claimants and providers
• Communicate claim decisions and updates clearly and professionally
• Maintain accurate records and ensure timely processing of claims
• Collaborate with internal partners to coordinate disability and leave outcomes
• Evaluate eligibility for short-term disability, state disability insurance, and related leave claims such as FMLA
• Develop and maintain strong relationships with employees, employers, and providers
• Stay up-to-date with changes in laws and regulations related to leave and disability claims
• Participate in ongoing training and development to improve skills and knowledge
• Work effectively in a fast-paced environment and prioritize tasks to meet deadlines

What We Are Looking For

• High School Diploma or equivalent
• 2+ years of experience in office administration or customer service
• Strong communication skills, both written and verbal
• Ability to manage detailed information accurately and efficiently
• Familiarity with leave, benefits, or disability claim management
• Experience working with medical or claims documentation
• Proficiency in Microsoft Excel
• Detail-oriented and organized with excellent analytical and problem-solving skills
• Ability to work in a team environment and build strong relationships with colleagues and customers

Nice to Have

• Experience with claims management software or other relevant technologies
• Knowledge of laws and regulations related to leave and disability claims
• Certification in a related field, such as claims adjustment or benefits administration

Benefits and Perks

• Rich benefits package including medical, dental, vision, and a 401(k) plan with matching company contributions
• Annual incentive bonus plan
• Generous paid time off, including 11 holidays, 2 wellness days, and 8 volunteer hours annually
• Paid parental leave and adoption/surrogacy assistance
• Employee giving program that double matches donations to eligible nonprofits and schools
• Opportunities for career growth and advancement
• Supportive and responsive management approach

• Be prepared to provide specific examples of your experience with leave and disability claim management, and how you have delivered high-quality customer experiences in previous roles.
• Make sure your resume and cover letter are tailored to the job description, highlighting your analytical, communication, and problem-solving skills.
• Familiarize yourself with the company's products and services, as well as the laws and regulations related to leave and disability claims.
• Practice your analytical and problem-solving skills, as you will be expected to evaluate complex medical information and make sound decisions.
• Prepare to ask questions during the interview, such as what a typical day looks like in the role, and how the company supports the professional development of its employees.
• Be prepared to discuss your experience with Microsoft Excel and other relevant technologies, and how you have used them to manage and analyze data in previous roles.