Team Leader - Operations

·Administer STD claims

·Complete eligibility decisions, gather pertinent data, when necessary, from employee, employer, physician’s office or employer through outgoing calls, email, fax or other supporting systems.

·Promptly review new STD Claims and make initial & subsequent claim decisions.

·Perform discussion on health condition, RTW confirmation, return phone calls, etc.

·Update systems to accurately reflect claim status and ensure appropriate diary documentation exists

·Business recommended TAT to complete the activity within the required number of business days, specific to task types, to maintain compliance measures

·The position is expected to do end to end management including Statutory plans, Federal, Company, State and other Leave types.

·Interact with claim specialists, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physician’s office