Case Manager assisting claimants through paid leave of absence requests and guiding them through the leave process. Ensuring compliance with established procedures and regulations throughout the process.
Responsibilities
Assists claimants with paid leave of absence requests and guides them through the leave process
Processes all leave of absence paperwork according to established procedures and laws
Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities
Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions
Reaches out to obtain relevant healthcare provider, employer, financial, and other information
Compares the information to the terms, limitations, and conditions of the contract/administrative services agreement
Renders the claim decision as quickly as possible
Makes recommendations to approve or deny requests for Statutory Paid Leave based on state regulations
Coordinates correspondence, forms, and other documents via the claim system
Documents the claims system in an accurate and comprehensive manner
Generates reports as required; maintains files, inputs and analyzes data
Requirements
Current knowledge of the absence management industry
Excellent customer service skills
Strong communication skills – written, verbal, persuasion, motivation, facilitation of strong working relationships
Ability to manage business expectations and resolve concerns
Ability to effectively prioritize and escalate customer issues
Knowledge of state and federal FMLA regulations
Paid Family and Medical Leave experience a plus
Knowledge of medical disability management preferred
Strong organizational skills
Excellent interpersonal skills
High School Diploma or Equivalent
1 - 2 years of professional job-related experience or an equivalent combination of education and experience
Benefits
Medical, dental, and vision coverage
Prescription drug coverage
Health care flexible spending
Dependent care flexible spending
Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
401(k) plans
Annual bonuses
Opportunity to purchase company stock
11 paid holidays
Up to 20 days PTO to be used for any reason
State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
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