STAT/PFL Claims Specialist

Job Summary

A company is looking for a STAT/PFL Claims Specialist.

Key Responsibilities

• Conduct initial and ongoing interviews with claimants and review medical records to make claim determinations
• Collaborate with case managers and medical professionals to ensure timely claim decisions
• Perform accurate financial calculations in accordance with company and state guidelines

Required Qualifications

• High School diploma or GED
• 1-2 years of experience in claims, leaves, or customer service
• Experience with disability and/or absence management is a plus
• Strong mathematical skills for payment calculations