Associate Leave Specialist
This is a hybrid position with a 2 day a week in office requirement.
Candidates must be located adjacent to our Chattanooga, TN or Portland, Maine office.
Associate Leave Reps are responsible for understanding the FMLA and state regulations, processing of leaves, review of medical certifications, and ongoing relationship management with employees requesting leaves and their Employer contacts. The leave specialist must exercise a high level of independent judgment and critical thinking in decision making, and be fully versed on the FMLA, applicable state leave laws as well customer specific processing requirements. Partnering with other business areas (Benefits Center, Contact Center, etc.) is also important to the success of the leave management operation. This position remains under the supervision and guidance of a Trainer/Mentor.
Principal Duties and Responsibilities
- Processing of new leaves and all daily follow-ups assigned
- Determine eligibility and availability of leave time for each employee requesting leave for FMLA, State, and applicable Corporate protections
- Determine and generate appropriate communications to comply with FMLA regulations and customer procedures
- Review medical certifications and other documentation submitted; consult with Nurse Case Manager and IME unit if needed
- Determine the appropriate status of leave under FMLA and state leave regulations taking into consideration regulatory requirements, company-specific requirements, and analysis of documentation received (medical, legal, etc.)
- Communicate medical or absence information with other internal units (STD, Intake)
- Management of a leave through duration, reporting status to Employer, employee and other internal units
- Respond to leave questions and issues from employees or Employer contacts
- May perform other duties as assigned
Job Specifications
- Successful completion of the Leave Management training program, passing score on the final exam and quality audit and mentor sign-off.
- 4-year degree or similar experience preferred
- Strong interpersonal skills and customer relationship skills
- Strong business communication skills (telephone, e-mail, written)
- Knowledge of Windows; general keyboard and computer skills (Word, Excel, Access)
- Decision making and analytical skills
- Attention to detail and organizational skills
- Understanding of STD processes and work flows and insurance industry preferred