Disability Claims & Absence Specialist

Tata Consultancy Services; Surprise (AZ); On-site; USD 48,000 - 55,000; Full time

Benefits offered by this job

Discretionary annual incentive

Comprehensive medical coverage

Family support: maternal & parental le

401K plan

Training reimbursement

Job summary

Tata Consultancy Services is hiring for a role handling Absence case management and claim adjudications in the US, focusing on disability and FMLA/PFL interpretation and timely payments.

The position requires reviewing medical docs, determining benefits, and ensuring compliance with regulations, with strong communication and analytical skills. On-site work in the US is typical for this role.

Qualifications

• 1+ year of Disability/FMLA/PFL claims or insurance claims experience.
• Experience working with FINEOS.
• Working knowledge of medical terminology and documents (APS, diagnostic tests, imaging reports).
• Knowledge of disability insurance claims, benefits administration, offsets and deductions, and medical management practices.

Responsibilities

• Review claim nuances, eligibility and type of claims (intermittent or continuous).
• Analyze medical information to determine disability status.
• Approve or deny FMLA claims per guidelines.
• Determine benefits due and make timely payments/adjustments.
• Secure missing documentation for Not in good order cases.
• Communicate with claimants and clients about the process.
• Manage workload and escalation, peer review processes for accuracy.
• Provide ideas for continuous improvement and service levels.
• Perform other duties or special projects as assigned.

Skills

Disability/FMLA/PFL claims

FINEOS

Medical terminology

MS Office

Communication skills

Education

Associateship

Tools

FINEOS System

MS Excel

MS Word

Job description

Tata Consultancy Services is hiring for a role handling Absence case management and claim adjudications in the US, focusing on disability and FMLA/PFL interpretation and timely payments.

The position requires reviewing medical docs, determining benefits, and ensuring compliance with regulations, with strong communication and analytical skills. On-site work in the US is typical for this role.