Leave Coordinator II

SEH Saint Elizabeth Medical Center•Edgewood, MD

About The Position

Assists with the management of St. Elizabeth Healthcare System’s FMLA/MLOA, WC and STD benefit programs. The position works closely with the Manager of Employee Leaves in the administration of the system’s leave and benefit related programs and policies. This position is responsible for the management of complex claims through successful resolution. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Requirements

High School Diploma / GED
Licensed Adjuster for the state in state worked OR Licensed Nurse Case Manager for the state in state worked (if eligible, must have a compact multi-state RN license in primary state of residence)
Extensive computer knowledge including Microsoft Office
Excellent organizational and interpersonal skills.
Knowledge of disability plans administration
Excellent oral and written skills
Effective analytical and interpretive skills
Ability to work independently as well as in a team environment
Basic math skills required
Understands medical terminology
Understands treatment plans and utilizes best practice guidelines in formulating plans of action
Ability to effectively deal with difficult situations
Advanced knowledge and experience with KY workers’ compensation
Demonstrated ability to coordinate decision-making and problem-solving
Knowledge and experience with FMLA and STD administration process
5 years directly related adjusting experience including: workers’ compensation claims adjuster experience

Nice To Haves

Bachelor’s Degree
Familiar with HR database software (i.e., Workday).
Familiar with OH, KY, IN Workers’ Compensation regulations
Ten years workers’ compensation and disability claims experience

Responsibilities

Proactively manages an inventory of complex Worker's Compensation claims and Short-Term Disability claims.
Reviews progress of claim with employees and providers to establish an action plan for return to work.
Initiates, coordinates and ensures early return-to-work efforts with the employee and supervisor.
Ensures timely and accurate decisions and benefit provision.
May establish reserves and authorize treatment/payments within authority guidelines.
Utilizes computer software programs to track leaves and provide reports to management.
Provides ongoing updates to managers/supervisors as to status of leave.
Coordinate with defense counsel on litigation of claims, providing records and reports as necessary.
Investigates and researches case law and technical assistance publications to ensure accuracy and integrity of claims administration.
Regularly handles confidential information while maintaining strict confidentiality and protecting from unauthorized disclosure.
Acts as a resource for claims questions and guidance.
May require travel to physicians, other St. Elizabeth locations or hearings.
Performs other duties as assigned.