Matrix Absence Management
  • 03-Oct-2018 to 02-Dec-2018 (MST)
  • Long Term Disability
  • Austin, TX, USA
  • Full Time

Full Benefit Package

Matrix Absence Management is one of the top Third Party Administrators (TPA) supporting clients in absence management (FMLA/Disability/Workers' Compensation). We partner with our clients Human Resources department to manage Workers' Compensation, Disability and/or Leave of absences until the claim is resolved or the employee returns to work.  Our highly customer centric approach is to try and duplicate the culture of our clients to make the experience seamless for employees.  Our mobile app technology provides ease of use to our client and employee in reporting claim information.

Matrix Absence Management offers a full benefit package- Medical, Dental & Vision, including 401K match. Matrix is a friendly and pleasant office environment; offering flexible schedules M-F.


Position Summary:

The Claims Examiner, Long Term Disability will manage an assigned caseload of more complex Integrated Long-Term Disability cases. The candidate will also evaluate claimant eligibility. Interact with internal and external customers including, but not limited to, claimants, employers, physicians and attorneys etc. to gather the information to make the decision on the claim.

Duties and Responsibilities:

  • Analyze, approve or deny Disability claims for contestable and non-contestable cases. 
  • Provides technical direction to other claims personnel as needed. 
  • Determining eligibility under federal and state requirements for leaves submitted.
  • Medical certification review and management supplied by the healthcare provider.
  • Determining the duration associated with the leave based on the information given by the healthcare provider.
  • Communicating approvals, denials, leave extensions, return to work plans and other important information regarding the leave to the employee and client.
  • Managing leaves that are concurrent with Short Term Disability and Workers' Compensation.
  • Managing intermittent, continuous and client specific leaves of absences.
  • Processing all leaves within the specific timeframes outlined within Matrix Best Practices guidelines.
  • Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.

Education, Qualifications and Experience:

  • Bachelor's degree preferred.
  • At least 3-5 years of experience directly administering LTD or STD Claims.
  • Additional experience administering FMLA and/or State Leaves is a (+).
  • Ability to manage multiple and changing priorities. 
  • Excellent organizational and time management skills.
  • Strong written and communication skills demonstrated in previous work experience.
  • Specific experience with collaborative negotiations.
  • Proven skills in positive and effective interaction with challenging customers.
  • Experience in effectively meeting/exceeding individual professional expectations and team goals.
  • Demonstrated analytical and math skills.

EEO Statement 

Matrix Absence Management is an equal opportunity employer applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, veteran status or any other consideration made unlawful by applicable, federal state or local laws.

Essential Physical/Cognitive Job Functions

  • Prompt and regular attendance at assigned job locations
  • Ability to work shifts exceeding 8 hours, 5 days per week
  • Ability to interact with employees of all levels and clients in an appropriate manner
  • Ability to concentrate and think strategically
  • Availability onsite to confer with staff members with whom the incumbent must interact on a daily basis
  • Ability to proficiently use a personal computer for tasks such as email and preparing reports using software
  • Ability to review and analyze data and information.
  • Ability to complete, or oversee the completion of, assigned tasks/projects in a timely manner.



Matrix Absence Management
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