Leave & Disability Case Manager - FMLA Exp is Required

Military Spouse Corporate Career Network

3d•Remote

About The Position

This is a remote role responsible for the accurate and compliant administration of various clients’ Family Medical Leave Act (FMLA) policies. The successful candidate will provide essential guidance to associates and management, and perform clerical duties critical to operational functions. The organization works with partner companies to source qualified talent for their open roles and this position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers.

Requirements

1-2 years of related experience and current knowledge of the integrated disability and absence management industry
Knowledge of federal and state FMLA regulations
High School Diploma
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
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
Must have a quiet, distraction-free work environment
Must have reliable, high-speed internet (Min. 20 Mbps upload/download)
Must have a dedicated and private workspace that enables independent work without interruptions.

Nice To Haves

Experience with paid family and medical leave is a plus.
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.