Disability/FMLA- Claims Examiner

The Disability/FMLA Claims Examiner is responsible for administering the leave and absence programs for all Genuine Parts Company employees from leave initiation through closure, including all appropriate communications and transactional updates related to the employee’s HR record. This role will be responsible for providing consistent, quality care in a high-volume service center environment.

• Work experience in Federal Medical Leave ACT (FMLA)
• Work experience in Short Term Disability (STD). Ensures disability decisions are accurate and appropriate adhering to summary plan description and duration guidelines
• Some knowledge of Workman’s Compensation and what it represents
• ADA experience
• Knowledge of medical terminology
• Claim Management & Customer Service Experience
• Work experience in Employee Retirement Income Security Act guidelines (ERISA). Knowledge of the appeals process
• Knowledge of the Health Insurance Portability & Accountability Act (HIPPA) i.e. Ensure employee privacy, including confidentiality and protection of sensitive employee reports or information
• Knowledge in American Disability ACT (ADA)
• Some knowledge of what Workman’s Compensation is
• Ability to multi-task, Team player, flexible
• Receive and process non-complex disability claims
• Calculate benefits due to ensure accurate and timely payment of disability benefits.
• Complete and ensure accurate documentation for all Leave activities. Log all interactions in the case management system and/or leave management system. Abide by documented standardized best-practice processes when handling inquiries, transactions, and requests
• Work with Payroll and Benefits to ensure employees on applicable Leaves are paid accurately and are appropriate enrolled in benefits (as applicable)
• Facilitate return to work communicating restrictions to appropriate parties. Assist employees in getting back to work and receiving appropriate benefits according to Company policies and legal requirements. Facilitates return to work communicating restrictions to appropriate parties
• Ensure quality employee experience by using a professional and service-focused approach when handling all inquiries, transactions, and requests
• Display dependability by being punctual and achieving an appropriate level of attendance
• Attend and participate in on-going training to support the ever-changing environment
• Demonstrate an ability to learn and actively seek out knowledge in a self-guided, keyword driven and document heavy knowledgebase

Qualifications:

• 3-5 years’ experience in leave management and/or employee benefits
• 3-5 years’ prior relevant experience in a call center or service center environment
• Superior Customer Service skills
• Excellent oral and written communication skills
• Exposure to HR and/or case management technologies (e.g., portal technology, case management, human capital management, etc.)
• Attentive listening skills that enable asking of probing questions to aid them in problem solving and issue escalation
• Experience with HR administration and general exposure / knowledge of various HR functions (e.g., policy, compensation, employee relations, benefits, performance management, etc.)
• Detail oriented and able to multi-task
• Proficient computer skills (Microsoft Word, Microsoft Excel)
• Dependable and willingness to learn
• Team player with a positive attitude