LOA Administrator - Hybrid

Acosta • Jacksonville, FL

13d • Hybrid

About The Position

Manage all LOA, Return to Work and Accommodation requests, including FML, PLOA, MLOA, STD, LTD, and ADA LOAs; to make determinations based on state and federal regulations; and to ensure that on-going claim management is within company service standards and industry best practices. Note: The LOA Admin is a Hybrid work arrangement, requiring 3 Office days weekly from an Acosta Group hub in Dallas, TX; Jacksonville, FL; St. Louis, MO.

Requirements

• Associate’s degree in relevant field of study (or three years of relevant work experience).
• Two (2) years disability management and/or FMLA administration experience required.
• Strong knowledge of leave of absence.
• Critical Thinking.
• Self-Starter.
• Ability to identify basic problems, analyze information and draw valid conclusions/resolution.
• Strong written and verbal communication skills.
• Multi-task and manage multiple projects.
• Work independently in a fast-paced environment with changing priorities.
• Demonstrated ability to deal with confidential information.
• Problem solving, time management and priority setting skills.
• Strong computer skills.
• Strong computer and customer service skills.

Nice To Haves

• CCM, RN or BSN certification with combination of Case Management experience preferred.
• Human Resources experience and ADA knowledge preferred.

Responsibilities

• Review PLOA and ADA claims to determine eligibility, certification in compliance with state and federal regulations, review medical documentation to determine validity of clinical information, and to determine medical necessity.
• Ensures coordination of efforts at each stage in the LOA process including the Return to Work process and Accommodation requests.
• Identifies action plan; manage Return to Work process; and makes timely case decisions.
• Communicates decisions and on-going expectations with claimants and supervisor.
• Main contact for disability and ADA carriers, as well as physicians, associates, supervisors and HRBPs.
• Educate and train the field on LOA process to ensure compliance.
• Tracks and codes documentation in accordance with internal workflow processes.
• Stays abreast of related regulatory policies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree