What are the responsibilities and job description for the RRM - Intake Coordinator/Compliance Specialist position at Alera Group, Inc.?
Overview
AbSolve Absence Solutions, an Alera Group Company is seeking an Alera Group is looking for an Intake Coordinator/Compliance Specialist to join our Mount Laurel, NJ team.
Alera Group was founded in 2017 and has grown to become the 15th largest broker of US business. We are passionate about our clients’ success in the areas of Employee Benefits, Property and Casualty Insurance, Retirement Plan Services, and Wealth Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service.
Absolve is a leading provider of absence and disability solutions for large employers. Our proprietary disability and claims management process provides employees with expert support during their leave. Rest assured that each employee’s case will be managed consistently, in compliance with federal and state leave law. Our focus is on creating healthier, more productive workforces by reducing the amount of time employees miss work due to unscheduled absences.
When leaves are unavoidable, our team takes care of them from beginning to end. It is our commitment to make employees out on leave feel supported and ensure that they get their benefits as quickly and easily as possible.
Responsibilities
This position will start off in-office for the first approximately six months (training). After training is complete, it will transition to a hybrid schedule. The hours are Monday-Friday, 8:30am-5:00pm EST.
Claims Assistance and Information Management: Provides detailed policy and claim information to employees, guiding them through the claims process and assisting with the submission of claims. Makes outbound calls to gather missing information on incomplete claims and ensures that all required data is accurately documented in the claims system.
Communication Triage and Request Determination: Manages incoming calls and communications, assessing the nature of each caller's request to ensure proper handling. Directs complex inquiries to specialized departments, facilitating smooth transfers when needed.
Leave of Absence and Disability Claim Navigation: Helps employees navigate the leave of absence and disability claims process, providing guidance on procedures and requirements, while verifying eligibility and benefit coverage. Ensures all employee interactions are handled with sensitivity to maintain confidentiality.
Accurate Data Collection and Entry: Collects all necessary information from employees and ensures precise, complete, and timely entry into the claims software, in accordance with internal standards and compliance regulations.
Documentation and Confidentiality: Exercises discretion in collecting, discussing, and documenting sensitive information. Sends acknowledgment and authorization correspondences promptly and processes all incoming claims in line with regulatory and compliance mandates.
Complaint Management and Interdepartmental Coordination: Redirects quality-of-care and service-related complaints to the contact center manager. Processes requests for additional information and explanations of benefits by coordinating with the appropriate operational area within the claims department.
Daily Administrative Responsibilities and Special Projects: Handles incoming emails, faxes, and voicemail messages promptly and accurately. Completes project work and other assigned tasks as required, ensuring all duties support departmental goals and timelines.
Qualifications
- Experience in claims processing, benefits administration, or insurance customer service, with the ability to explain policies and guide employees through complex processes.
- Strong communication and organizational skills, with accuracy in data entry and compliance with confidentiality regulations.
- Proven ability to manage multiple priorities, handle sensitive information, and coordinate effectively across departments.
Additional Information
This job requires presence in the Mount Laurel, NJ. Non-local or remote only applicants need not apply.
Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more.
Salary range is $50K to 55K per year.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.
Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.
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Salary : $50,000 - $55,000
