What are the responsibilities and job description for the Protected Leaves Claims Processor position at Women's Care?
Description
Women’s Care is seeking a detail-oriented and patient-focused Protected Leaves Claim Processor to join our team. In this role, you will be responsible for processing and managing leave claims under Paid Leave Oregon, FMLA, state-mandated leave programs, and company policies. You will work closely with patients to ensure compliance with leave laws and regulations.
About the Role:
This is a full-time opportunity working on-site at our clinics in Eugene/Springfield, Oregon. The position has an expectation of 40hrs per week (Monday – Friday) and we are proud to offer attractive pay and a great benefits package.
What will you do:
- Review and process patient requests for protected leaves, ensuring all required documentation is provided and accurate.
- Ensure all leave requests adhere to applicable federal, state, and company policies, including PLO, FMLA, ADA, and other protected leave laws.
- Serve as the primary point of contact for patients regarding leave inquiries and statuses. Provide clear, timely updates regarding claim statuses.
- Verify the eligibility of employees for protected leave, review medical certifications or documentation, and confirm the proper length of leave.
- Maintain detailed records of all interactions and claim processing activities for compliance, auditing, and reporting purposes.
Requirements
What do you need to bring to the role:
- High School Diploma or GED equivalent required.
- One year of medical office experience required.
Competencies that matter to us:
Business Effectiveness: Exceptional attention to detail and a robust level of problem solving and decision quality.
Personal Effectiveness: Strong personal work habits with a high level of accountability and self-management skills that enable desired outcomes. Easily able to adapt and maintain composure, effective at time priority and management, and able to respond to feedback constructively.
Interpersonal Effectiveness: Strong communication skills, a teamwork mindset, and well-developed interpersonal capabilities that enable successful interactions with others. Engages well with the team/patients through respectful and inclusive conduct.
About Women’s Care:
Women’s Care was founded in 1988 and is Lane County’s oldest independent physician group specializing in women’s health. We have five clinic locations within Lane County and hold ourselves to the highest possible standard of care delivery through compassion, respect, and professionalism. Women’s Care takes care of all patients, from adolescence to menopause, and is one of the area’s strongest advocates for women’s health.
Women’s Care is an equal opportunity employer.
