Leave of Absence Administrator - Hybrid
- Review PLOA and ADA claims to determine eligibility, certification in compliance with state and federal regulations, review medical documentation to determine validity of clinical information, and to determine medical necessity.
- Ensures coordination of efforts at each stage in the LOA process including the Return to Work process and Accommodation requests.
- Identifies action plan; manage Return to Work process; and makes timely case decisions. Communicates decisions and on-going expectations with claimants and supervisor.
- Main contact for disability and ADA carriers, as well as physicians, associates, supervisors and HRBPs. Educate and train the field on LOA process to ensure compliance.
- Tracks and codes documentation in accordance with internal workflow processes.
- Stays abreast of related regulatory policies.
- Associate's degree in relevant field of study (or three years of relevant work experience).
- Two (2) years disability management and/or FMLA administration experience required.
- CCM, RN or BSN certification with combination of Case Management experience preferred.
- Human Resources experience and ADA knowledge preferred.
- Strong knowledge of leave of absence.
- Critical Thinking.
- Self-Starter.
- Ability to identify basic problems, analyze information and draw valid conclusions/resolution.
- Strong written and verbal communication skills.
- Multi-task and manage multiple projects.
- Work independently in a fast-paced environment with changing priorities.
- Demonstrated ability to deal with confidential information.
- Problem solving, time management and priority setting skills.
- Strong computer skills.
- Strong computer and customer service skills.
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