LOA Representative
Company Name:
Sedgwick Claims Management Services, Inc.
Job Title: LOA Representative
City: Dubuque
State/Province: Iowa
Position Type: Full Time
Description:
Leave of Absence Representative
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as theBest TPA in Americaand the covetedEmployer of Choicedesignation, we invite you to come be a part of our team and,Claim Your Future.
PRIMARY PURPOSE: To analyze reported Family Medical Leave (FMLA) requests; 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.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
Communicates decisions and on-going expectations with claimants and clients.
Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED
Experience
Two (2) years disability management and/or FMLA administration experience required or equivalent combination of education and experience. Human Resources experience including FMLA administration is preferred.
Skills & Knowledge
Knowledge of state and federal FMLA regulations
Knowledge of medical disability management
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer
and a
Drug-Free Workplace
Additional Information: N/AEstimated Salary: $20 to $28 per hour based on qualifications.
Sedgwick Claims Management Services, Inc.
Job Title: LOA Representative
City: Dubuque
State/Province: Iowa
Position Type: Full Time
Description:
Leave of Absence Representative
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as theBest TPA in Americaand the covetedEmployer of Choicedesignation, we invite you to come be a part of our team and,Claim Your Future.
PRIMARY PURPOSE: To analyze reported Family Medical Leave (FMLA) requests; 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.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
Communicates decisions and on-going expectations with claimants and clients.
Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED
Experience
Two (2) years disability management and/or FMLA administration experience required or equivalent combination of education and experience. Human Resources experience including FMLA administration is preferred.
Skills & Knowledge
Knowledge of state and federal FMLA regulations
Knowledge of medical disability management
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer
and a
Drug-Free Workplace
Additional Information: N/AEstimated Salary: $20 to $28 per hour based on qualifications.
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