LOA Administrator
Acosta
full-time
Posted on:
Location Type: Hybrid
Location: Jacksonville • Florida • Montana • United States
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About the role
- Manage all LOA, Return to Work and Accommodation requests, including FML, PLOA, MLOA, STD, LTD, and ADA LOAs; to make determinations based on state and federal regulations; and to ensure that on-going claim management is within company service standards and industry best practices.
- 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.
Requirements
- 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.
- **Knowledge, Skills and Abilities:**
- 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.
Benefits
- Flexible work arrangements.
- Professional development opportunities.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
disability managementFMLA administrationcase managementleave of absence knowledgemedical documentation reviewregulatory complianceclaim managementcoding documentationaction plan developmenteligibility determination
Soft Skills
critical thinkingself-starterproblem solvingtime managementpriority settingstrong written communicationstrong verbal communicationmulti-taskingindependent workconfidential information handling
Certifications
CCMRNBSN