-
Integrated Paid Leave Specialist- HYBRID
3 weeks ago
Unum Portland, United StatesJob Posting End Date: June 16 · When you join the team at Unum, you become part of an organization committed to helping you thrive. · Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's mom ...
-
Claims Director
1 week ago
OneAmerica South Portland, United States Full timeJob Details · Description · At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that build ...
-
Desktop Support Specialist
1 week ago
inMusic Cumberland, United States Full timeinMusic is a family of leading music technology and consumer electronic brands. We live and breathe music. We incorporate and build upon the latest engineering, design, and technology in the DJ, Music Production, Pro Audio, Musical Instrument, and Consumer Electronics industries. ...
-
SCA Data Specialist
2 weeks ago
Elevance Health South Portland, United States Full timeJob Description · : SCA Data Specialist · Locations: Elevance Health supports a hybrid workplace model with Pulse Point sites (major office) used for collaboration, community, and connection. This position will be primarily virtual, however will be based within 50 miles of an ...
-
Social Listening Specialist
1 day ago
inMusic Cumberland, United StatesJob Description · Job DescriptioninMusic is a family of leading music technology and consumer electronic brands. We live and breathe music. We incorporate and build upon the latest engineering, design, and technology in the DJ, Music Production, Pro Audio, Musical Instrument, and ...
-
Billing Specialist
5 days ago
SOFT Inc Cumberland, United StatesJob Description · Job DescriptionSOFT's client located in Cumberland, RI is looking for a Billing Specialist for a long term contract assignment. · Job Description: This role sits in Cumberland, RI. The role with start as mostly onsite for training and testing purposes but will t ...
-
Desktop Support Specialist
1 week ago
inMusic Cumberland, United StatesJob Description · Job DescriptioninMusic is a family of leading music technology and consumer electronic brands. We live and breathe music. We incorporate and build upon the latest engineering, design, and technology in the DJ, Music Production, Pro Audio, Musical Instrument, and ...
-
Controls Engineer
1 week ago
Ameresco Portland, United StatesAmeresco, Inc. (NYSE:AMRC) is a leading cleantech integrator and renewable energy asset developer, owner and operator. Our comprehensive portfolio includes energy efficiency, infrastructure upgrades, asset sustainability and renewable energy solutions delivered to clients through ...
-
Controls Engineer
1 week ago
Ameresco Portland, United StatesAmeresco, Inc. (NYSE:AMRC) is a leading cleantech integrator and renewable energy asset developer, owner and operator. Our comprehensive portfolio includes energy efficiency, infrastructure upgrades, asset sustainability and renewable energy solutions delivered to clients through ...
-
Social Media Strategist
2 days ago
inMusic Cumberland, United StatesJob Description · Job DescriptioninMusic is a family of leading music technology and consumer electronic brands. We live and breathe music. We incorporate and build upon the latest engineering, design, and technology in the DJ, Music Production, Pro Audio, Musical Instrument, and ...
-
Director, ISP
2 days ago
Spectrum Portland, United StatesSpectrum's growth and success in the ever-evolving technological landscape are built on the sophisticated innovations and service reliability our Network Operations groups provide. Our Operating Model focuses on maintaining operational excellence and reliability of Spectrum's net ...
-
Risk Control Technical Consultant, Field
6 days ago
Travelers Canada Portland, United StatesRisk Control Technical Consultant, Field page is loaded · Risk Control Technical Consultant, Field · Apply · remote type · Hybrid · locations · ME - South Portland · MA - Braintree · NH - Bedford · MA - Hudson · time type · Full time · posted on · Posted Yesterday · ...
-
Risk Control Technical Consultant, Field
1 day ago
Travelers Canada Portland, United StatesRisk Control Technical Consultant, Field page is loaded · Risk Control Technical Consultant, Field · Apply · remote type · Hybrid · locations · ME - South Portland · MA - Braintree · NH - Bedford · MA - Hudson · time type · Full time · posted on · Posted Yesterday · ...
-
Claims Director
1 week ago
American United Life Ins Co South Portland, United StatesJob Description · Job DescriptionAt OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that bu ...
-
Financial Analyst
3 weeks ago
New England Cancer Specialists Scarborough, United StatesJob Description: · Shift: First Shift,Mon,Tue,Wed,Thu,FriNew England Cancer Specialists (NECS) is currently seeking a full time · Financial Analyst · to join our growing Finance team. The Accounting and Finance Analyst will work closely and collaborate with the CFO on finance ...
-
Senior Digital Transformation Specialist
3 weeks ago
Unum Portland, United StatesJob Posting End Date: June 20 · When you join the team at Unum, you become part of an organization committed to helping you thrive. · Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's mom ...
-
Senior Mental Health Account Specialist,
1 week ago
Bristol-Myers Squibb Portland, United States**Working with Us** · Challenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production ...
-
Scheduling Specialist-Cancer Care
2 weeks ago
MaineHealth South Portland, United StatesSummary · Maine Medical Partners - Cancer Care division is actively recruiting a scheduling specialist for their South Portland office. Once fully trained, this will become a hybrid role, with the ability to work from home to be determined by need and experience. · Position Summ ...
-
Pharmacy Technician
3 weeks ago
New England Life Care Portland, United StatesJob Description · Job DescriptionNELC is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 60 hospital systems in Maine, New Hampshire, ...
-
Infinity Systems Freeport, United StatesYour future. What to expect · Ensuring smooth and highly available operation of our centrally managed hybrid Microsoft Exchange environment as well as the company-wide Microsoft Active Directory including its associated central subsystems · Provision and operation of Exchange ser ...
Integrated Paid Leave Specialist- HYBRID - Portland, United States - Unum
Description
Job Posting End Date:
June 20
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments.
And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally.
To enable this, we provide:
Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes:
Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments
*All the benefits listed above are subject to the terms of their individual Plans.
And that's just the beginning...
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers.
Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team.
Help us help others, and join Team Unum todayGeneral Summary:
Position start date is July 8, 2024
This position is located at our Portland, Maine or Chattanooga, TN home office location
Minimum starting base pay is $53,000.
In the administration of the FMLA and Paid Family and Medical Leave (PFML), Unum acts on behalf of the employer and assumes full responsibility for complying with the FMLA and applicable state leave laws along with similar employer specific programs that apply the serious health condition threshold to STD like plans This service is a hybrid of adjudication of an insurance claim and leaves request administration and may also apply to payment and administration of corporate paid leave policies including parental, caregiver, military and medical leaves.
Unum is subject to fines and penalties levied by the Department of Labor or by the state as well as legal expenses incurred by the employer.
Paid Leave Representatives are responsible for technical expertise (FMLA,225+ state regulations), complex processing of leaves/claims, review of medical certification, and ongoing relationship management with employees requesting leaves and their Employer contacts.
The representative must exercise a high level of independent judgment and critical thinking in decision making, and be fully versed on the FMLA, applicable state leave laws as well customer specific processing requirements.
Partnering with other business areas (Benefits Center, Contact Center, etc.) is also important to the success of the leave management operation.
Principal Duties and Responsibilities:
Complete processing of new leaves and complete all daily follow-ups assigned.
Determine eligibility and availability of leave time for each employee requesting leave for PFML, corporate-paid ER plans, and other statutory benefits.
Integrated files:
ability to accurately navigate and execute wholistic adjudication within files comprised of a combination of leave protections—i.e. statutory benefits, FMLA, corporate leaves, state-specific EE offsets.
Processing of leaves associated with an employee's own serious health condition under PML programs, utilizing statutory definitions of serious health condition.
Meet & maintain accuracy and quality expectations regarding integrated files that require a specialist to work out of both claim & leave.
Determine and generate appropriate communications to comply with PFML and, where applicable, FMLA and State regulations and customer procedures.
Review medical certifications and other documentation submitted; consult with Nurse Case Manager if needed.
Communicate medical or absence information with other internal units (STD, Intake).
Manage leave/claim through duration, develop relationships with Employer contacts, including HR administrators.
Respond to questions and issues from employees or Employer contacts.
Maintain organizational service and quality standards on all assigned claims.
Be familiar with specialized workflow requirements and performance standards for any assigned customers.
Calculates benefits, BWE and offsets.
Ability to discuss and educate on industry trends for corporate paid leaves.
Provide excellent customer service by paying appropriate claims promptly and quickly responding to all inquiries.
May perform other duties as assigned.
Job Specifications:
4-year degree or similar, relevant experience preferred.
Knowledge of FMLA regulations and internal FMLA processes.
Working knowledge of state paid and unpaid leave laws.
Ability to exercise critical thinking, independent judgment and discretion in increasingly complex claim adjudication decisions.
Expectation of increasing levels of skill and ability; ability to manage a wide variety of claims independently.
Strong interpersonal skills and customer relationship skills.
Strong business communication skills (telephone, e-mail, written).
Knowledge of Windows; general keyboard and computer skills (Word, Excel, Access).
Strong decision making and analytical skills.
Demonstrates strong attention to detail and high organizational skills.
Basic understanding of STD processes and workflows and insurance industry preferred.
IN2
#LI-CC1
#hybrid
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide.
Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices.
Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.The base salary range for applicants for this position is listed below.
Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$40,000.00-$72,000.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not.
Company:
Unum
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.