Leave of Absence Coordinator

PRIMARY PURPOSE OF THE ROLE

Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes.
• Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations.
• Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client.
• Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system.
• Maintains professional client relationships and provides excellent customer service.
• Mets the organization’s quality program(s) minimum requirements.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES

Performs other duties as assigned.

Qualifications

• Education & Licensing: High school diploma or GED required. State certification or licensing in statutory leaves is beneficial.
• Experience: One (1) year of administrative/general office experience or equivalent combination of education and experience required. FMLA administration experience preferred.

Skills & Knowledge

• Knowledge of state and federal FMLA regulations
• Excellent oral and written communication, including presentation skills
• Proficient computer skills including working knowledge of Microsoft Office
• Analytical and interpretive skills
• Strong organizational and multitasking skills
• Excellent interpersonal skills
• Ability to exercise judgement in accordance with well-defined policies and procedures
• Ability to work in a team environment
• Ability to meet or exceed performance competencies as required by program

WORK ENVIRONMENT

• Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical: Ability to sit at a desk for extended periods while operating a computer and phone system.
• Auditory/Visual: Hearing, vision and talking