Leave Case Manager
About The Position
Overview Instant Teams is seeking a detail-oriented and experienced Leave Case Manager to join our remote team! Reporting to the team manager, this remote role is primarily responsible for the accurate and compliant administration of various clients’ Family Medical Leave Act (FMLA) policies. A successful candidate will provide essential guidance to associates, management, and perform clerical duties critical to operational functions. Day in the Life Leave Management & Compliance: Administer the FMLA policy, including reviewing all FMLA documentation for accuracy and completeness. Make recommendations to approve or deny FMLA requests based on established federal regulations. Ensure processes adhere to established procedures and applicable laws. Maintain compliance with all federal and state regulations and internal standards. Serve as an internal reference for certification requirements and processing within the team. Associate and Management Support: Assist associates by guiding them through the leave of absence (LOA) request process. Provide timely and accurate responses to associates and all levels of management regarding day-to-day issues. Assist management with complex LOA situations, providing guidance within policy and legal guidelines. Proactively manage business expectations and resolve concerns by communicating status and issues effectively. Contact providers for necessary clarification. Administrative and Reporting Functions: Process all leave of absence paperwork according to established procedures. Coordinate correspondence, forms, and other necessary documents via the claim system. Maintain complete records of all LOA requests, including tracking and analysis of data. Generate required reports and maintain accurate files, data input, and analysis. Support management with special projects as necessary.
Requirements
- High School Diploma
- 1-2 years of related experience and current knowledge of the integrated disability and absence management industry, current knowledge of the integrated disability and absence management industry
- Excellent customer service skills and the proven ability to manage difficult and stressful situations
- Strong communication skills (written, verbal, persuasion, motivation, and facilitation of strong working relationships)
- Ability to manage business expectations and resolve concerns by communicating status and issues
- Ability to effectively prioritize and escalate customer issues
- Ability to interpret and analyze multiple facts
- Knowledge of state and federal FMLA regulations; experience with paid family and medical leave is a plus.
- Strong organizational skills and the ability to manage a heavy caseload
- Excellent interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Nice To Haves
- Knowledge of medical disability management
- Prior experience utilizing a CRM system (Salesforce) and advanced data management tools (Excel, OneNote) for organizational efficiency
Responsibilities
- Administer the FMLA policy, including reviewing all FMLA documentation for accuracy and completeness.
- Make recommendations to approve or deny FMLA requests based on established federal regulations.
- Ensure processes adhere to established procedures and applicable laws.
- Maintain compliance with all federal and state regulations and internal standards.
- Serve as an internal reference for certification requirements and processing within the team.
- Assist associates by guiding them through the leave of absence (LOA) request process.
- Provide timely and accurate responses to associates and all levels of management regarding day-to-day issues.
- Assist management with complex LOA situations, providing guidance within policy and legal guidelines.
- Proactively manage business expectations and resolve concerns by communicating status and issues effectively.
- Contact providers for necessary clarification.
- Process all leave of absence paperwork according to established procedures.
- Coordinate correspondence, forms, and other necessary documents via the claim system.
- Maintain complete records of all LOA requests, including tracking and analysis of data.
- Generate required reports and maintain accurate files, data input, and analysis.
- Support management with special projects as necessary.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
