Absence Management Claim Specialist

Key Responsibilities

• Handle, review, and administer Family & Medical Leave Act / and or Americans with Disabilities Act(ADA) claims and adhere to federal and state regulatory and/or company plan requirements.
• Establish FMLA/ADA workflow procedures and evaluate against appropriate leave plans and make initial claim decisions.
• Complete eligibility decisions during intake call, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc.
• Update systems to accurately reflect leave status and ensure appropriate diary documentation exists.

Required Essential Business Experience and Technical Skills

• High school diploma
• 1+ yrs. related experience and strong customer satisfaction focus and attention to detail
• Preferred Bachelor’s degree
• FMLA/ADA claims knowledge of process and procedures.