Job Requisition ID:91216

Location Designation:Fully Remote

Group Benefit Solutions delivers comprehensive insurance and absence management solutions for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to New York Life's legacy of being there when we're needed most. Here, you'll design, implement, and support these solutions directly impacting employees' lives. At our core, we provide financial security and peace of mind to people through our absence, accident, disability, voluntary benefits, and life insurance solutions. Click here to learn more about Group Benefits solutions.

Role Overview:
Entry-level position requiring an Absence Manager to guide and manage a customer's Absence while they are out due to an intermittent and/or continuous Absence.As an Absence Manager, you will be responsible for managingPaid Family Medical Leave (PFML), Family Medical Leave Act (FMLA), Company Paid Leave (CPL), and Americans with Disability Act of 1990 (ADA). You will be responsible forreviewing policy information, be proficient in the federal/state regulations and review medical certifications.You will conduct investigations, make determinations regarding eligibility for our customers and provide ongoing Absence administration.You are responsible for collaborating with customers and clients to ensure timely, accurate Absence administration and payments, if applicable. Upon approval of an Absence, you will provide ongoing Absence management services, assist with return-to-work needs, and communicate decisions and status updates with customers and Clients. This is a fast-paced job where attention to detail is critical. Above all, your customer service is critical to your success.

What You'll Do:

Make determinations regarding a customer's eligibility within compliance timeframes.
Manage an assigned desk load of Absences through capturing medical information, managing certifications, applying appropriate provisions, following legal guidelines, and leveraging expert resources.
Manage all Absence requests within appropriate service metrics.
Communicate with customers and Clients to gather information regarding the customers Absence and eligibility for benefit payments.
Talk directly with our customers about health programs to keep them engaged, improve their health and help them return-to-work sooner.
Reach out to customers, clients and providers on Absences where additional information is needed. Respond to various written and telephonic inquiries regarding: eligibility, approval/denial determinations, and Absence status.
Work directly with clients and Vocational Rehabilitation Counselors to facilitate return-to-work plans.
Pay all covered Absences accurately and timely and adhere to standard timeframes for processing mail and tasks.
Execute on all defined quality metrics customer performance guarantees.
Learn and apply Corporate Compliance, Policies and Procedures and best practices.
Complete ongoing trainings associated with the role and business unit objectives.

What You'll Bring:

One year minimum of professional experience strongly preferred
Strong critical, analytical and investigative skills; ability to gather information, analyze facts, and draw conclusions
Ability to work with a sense of urgency and be a self-starter with a customer-focus mindset
Ability to build and maintain effective relationships
Effective interpersonal, written and verbal communication skills
Excellent planning, time management and organizational skills
Ability to manage multiple and changing priorities
Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously
HS Diploma or GED required. Bachelor's degree strongly preferred
Proficiency with MS Word & Outlook applications is required

To be considered a top candidate, you also have:

Proven track record of successfully driving results in a complex matrix environment
Prior experience administering FMLA and/or State Paid Leaves
Strong negotiation skills
Knowledge of legal liability, insurance coverage and medical terminology

Future Career Growth:

People are our best asset, and to become a leading global health service company we need to ensure we have the right talent in every role. We encourage internal career development and the opportunity to work in different areas of our business.

Our culture supports employees being the drivers of their careers. Individuals can choose to grow vertically within the organization into roles that include management responsibilities and working directly with senior leadership, such as a Team Leader or Operations Director. They can also choose to explore other opportunities within New York Life, like Project Management or Sales & Account Management.

It is recommended that all qualified candidates apply to this posting as soon as possible. Residents of Colorado are hereby notified that the deadline to apply is 6 months from the Posting Date listed above.

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Pay Transparency

Salary range:$32,500-$47,500

Overtime eligible:Nonexempt

Discretionary bonus eligible:Yes

Sales bonus eligible:No

Actual base salary will be determined based on several factors but not limited to individual's experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to base salary, employees may also be eligible to participate in an incentive program.

Actual base salary within that range will be determined by several components including but not limited to the individual's experience, skills, qualifications, and job location. In addition to base salary, employees may also be eligible to participate in an incentive program.

Our Benefits

We provide a full package of benefits for employees - and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and outside of work. Click here to discover more about our comprehensive benefit options or visit our NYL Benefits Site.

Our Diversity Promise

We believe in a diverse workforce because it is our mission to advocate for the financial security and success of people in every community. This is why diversity, equity, and inclusion (DEI) are guiding principles that are embedded in our brand and our culture. Click here to learn more about how we have been recognized for our leadership.

Recognized as one of Fortune's World's Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by theFoundation.We're proud that due to our mutuality, we operate in the best interests of our policy owners. To learn more about career opportunities at New York Life, please visit the Careers page of www.NewYorkLife.com.

Job Requisition ID:91216