1.Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.2. Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.3. Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.4. Communicates decisions and on-going expectations with claimants and clients.5. Maintains professional client relationships.

1. Sets up and enters new claims into claims management system.2. Inputs and reviews notes/diaries in claims management system as instructed.3. Processes payments.4. Processes mail; handles filing, faxing and photocopying.5. Reviews, prepares, creates, and/or sends letters, reports, and forms.Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.Other activities/projects as assigned including the preparation and distribution of computer reports.

1. Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.2. Educates and informs the customer multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.3. Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.4. Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.5. Assigns new claims to the appropriate claims handler.6. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.

1.Work with customers to plan testing and migration processes2.Work with customer to resolve communication issues3.Track assigned customer issues to ensure timely resolution4.Notify team lead of updates needed to migration documentation and troubleshooting documentation5.Maintain customer status in Customer Migration DB

1. Answer an average of 100 calls per day by addressing customer inquiries, solving problems andproviding new product information. 2. Described product to customers and accurately explained details and care of merchandise. 3. Politely assisted customers in person and via telephones. 4. Communicated with vendors regarding back order availability, future inventory and special orders. 5. Answered product questions with up-to-date knowledge of sales and store promotions. 6. Scored in top 10% of employees in successful resolution of issues. 7. Recommended alternative products of item out of stock. 8. Ensured superior customer experience by addressing customer concerns, demonstrating empathyand resolving problems on spot.Updated Credit card information and helped customers with billing issues they had.

1. Transfer medication from vials to the appropriate number of sterile, disposable syringes, usingaseptic techniques. 2. Receive written prescription or refill requests and verify that information is complete and accurate. 3. Establish or maintain patient profiles, including lists of medications taken by individual patients. 4. Maintain proper storage and security conditions for drugs. 5. Answer telephones, responding to questions or requests. 6. Mix pharmaceutical preparations, according to written prescriptions. 7. Clean and help maintain equipment or work areas and sterilize glassware, according to prescribedmethods. 8. Prepare and process medical insurance claim forms and records. Price and file prescriptions that have been filled. 9. Maintain and merchandise home healthcare products or services. 10. Price stock and mark items for sale. 11. Operate cash registers to accept payment from customers. 12. Restock intravenous (IV) supplies and add measured drugs or nutrients to IV solutions under sterileconditions to prepare IV packs for various uses, such as chemotherapy medication.

1. Clean and sanitize work areas, equipment, utensils, dishes, or silverware. 2. Store food in designated containers and storage areas to prevent spoilage. 3. Take and record temperature of food and food storage areas such as refrigerators and freezers. 4. Keep records of the quantities of food used. 5. Place food trays over food warmers for immediate service, or store them in refrigerated storagecabinets. 6. Portion and wrap the food, or place it directly on plates for service to patrons. 7. Remove trash and clean kitchen garbage containers. 8. Carry food supplies, equipment, and utensils to and from storage and work areas. 9. Operate cash register, handle money, and give correct change. 10. Use manual or electric appliances to clean, peel, slice, and trim foods. 11. Scrape leftovers from dishes into garbage containers. 12. Prepare and serve a variety of beverages such as coffee, tea, and soft drinks.