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Claims Examiner - Leave Administration

pitneybowes
Companypitneybowes
CategoryOperations & Admin
LocationUS FL Remote
RemoteRemote
EmploymentNot stated
LevelNot stated
SalaryNot stated by the employer
Posted1 Aug 2026
Last verified11 Aug 2026
SourceEmployer ATS (workday)
Applications are handled by the employer, not by us.Apply on the employer's site →
Description
Bei Pitney Bowes machen wir das Richtige richtig.  Als Mitglied unseres Teams können Sie das auch. Wir haben tolle Mitarbeiter, die den Antrieb, die Inspiration und die Grundlage unseres Unternehmens bilden. Unsere florierende Kultur kann in vier Komponenten unterteilt werden: Kunde. Team. Gewinn. Innovation. Wir suchen aktiv nach potenziellen Mitarbeitern, die: • Leidenschaft für den Erfolg ihrer Kunden mitbringen. • Gerne mit anderen zusammenarbeiten. • Bestrebt sind, Erwartungen zu übertreffen. • Mutig auf die Suche nach überlegenen und marktführenden Lösungen gehen. Stellenbeschreibung: You are: The Leave Administation Specialist for non-occupational and workers' compensation leaves, responsible for the proactive management of claims. This includes investgating initial claims, leave revalidation, facilitating return-to-work efforts, coordinate employee payroll and time tracking while on leave, and working with work site managers and/or human resources personnel for workplace accommodations according to restrictions implemented by employees' treating physicians. You will: • Autonomously manage a daily   task list   within turnaround time expectations. • Investigate initial claims for approval under   FMLA, PPL, STD (Preg/Maternity cases), and WC programs. • Support Nurse Case Manager in administering leaves under   STD, LTD, FMLA, PPL, ADA, and WC Programs. • Interpret and correctly apply provisions of STD, LTD, FMLA, PPL, ADA, and WC Plans. • Determine   if requested time-off is within acceptable guidelines. Request medical records from attending physician ,   completing   non-complex   outreach to physician offices,   and consult ing   with nursing staff. • Support   the Nurse Case Manager in   the   return-to-work process with   the   employee, human resource s , supervisor, and   third-party   vendor   until   the employee is   release d   to   full duty . • Assist LTD claimant with Social Security filing(s) and Medicare approval.   Update LTD claims for Social Security Award status.   Audit and s ign-off on coworkers’ LTD calculation sheets. • Coordinate pay on approved workers’ compensation cases with carrier   and   maintain   claims in leave management system .   Determine   and   establish   a ccurate   coding of unpaid (FMLA, ADA, WC)   and paid (STD , PPL, LTD ) leaves   in   HRIS   system. • Ensure   accurate   application of state offset s,   maintain   offset calculators,   and continuously   monitor for   any changes in offset amounts or the inclusion of new states. • Coordinate with 3 rd   party vendor for claim administration and lost time for Canadian leaves. • Assist   the   Nurse Case Manager   in gathering all case materials   to   prepare   an appeal before the   Welfare Plan   Committee. • As needed, w ork with   HR   legal department in drafting employee   d isability communications. • Complete   a nnual   LTD audit. • Perform Iron Mountain File archiving. • Provides training and support to Managers for any leaves related issue. • Delivers   ongoing training to HR Support Line   agents. • Troubleshoots and   assists   with leave management system ;   collaborate on resolution plans. • C reate , audit, and   distribute reports as needed. • Triage   and address   non-clinical   Jira tickets . • M anage   fax server documents /email inbox (Absence Management ,   Workers’ Compensation , Fitness Center ) . • Coordinate   invoices/bill payment s . • M anage   and   schedule all meetings . D raft and circulate meeting agendas and minutes . • R espond to all department subpoenas and requests for Absence Management documentation . • C omplete all requests for disability   pay   information on state disability forms. • Complete special projects, and travel, as assigned.   This includes assisting with projects within the Benefits department. Your Background As a   Leave Administrative Specialist , you have : • 5+   years   claims processing experiences within an insurance company or third-party administrator. • Experience in   tightly   managing claims and administering services on self-insured accounts. • Problem-solving ability. • Excellent written and verbal communication skills for both counseling and meeting presentations. • Excellent interpersonal skills and the ability to deal with all levels of management and employees on   very sensitive   and emotional issues. • Experience with good customer service standards. • Candidates need to   demonstrate   investigative and analytical skills, advanced written and verbal skills, a proven record in return-to-work   programs,   and   understanding the social security disability insurance program. • Ability to work effectively within a team atmosphere. • Excellent computer skills. • Knowledge of benefit administration and/or similar administrative skills. • Complete understanding   and application of   all current plans and practices . • Ability to be completely objective and not easily swayed by the personal interest of unit administrators or individual employee claimants. • Familiarity with STD, FMLA, LTD, WC, ADA,   PPL, state offsets,   OSHA & safety rules & guidelines. Compensation: The hourly wage range for this position is $32-$36 per hour. Actual compensation will be based on skills and experience as they relate to the job requirements and the location where you will be performing the job. Location: Employees   residing   within   1hour   driving distance of Shelton   are required to   travel to local office(s) as assigned, minimum   four   day s   per week.   Subject to change based on   business needs. S ponsorship : Must be legally authorized to work in the US.  Employer   will not sponsor   position   for employment visa status now or in the future (ex. H-1B). Wir werden: • Den Willen aufbringen: Die Möglichkeit, zu wachsen und Ihre Karriere zu entwickeln • Ein integratives Umfeld bieten, das vielfältige Perspektiven und Ideen fördert • Herausfordernde und einzigartige Möglichkeiten mitbringen, zum Erfolg einer sich wandelnden Organisation beizutragen • Umfassende globale Vorteile bieten ( pbprojectliving.com ) Pitney Bowes ist ein Arbeitgeber, der Gleichberechtigung, Vielfalt und Inklusion am Arbeitsplatz schätzt. W/M/Veteranen/Personen mit Behinderungen/LGBT sind willkommen. Alle interessierten Personen müssen sich online bewerben. Menschen mit Behinderungen, die sich nicht über unser Online-Formular bewerben können, sollten die alternativen Bewerbungsoptionen über den Link „Menschen mit Behinderung“ nutzen.