LOA Administrator

AcostaLewisville, TX
Hybrid

About The Position

The LOA Administrator will manage all LOA, Return to Work and Accommodation requests, including FML, PLOA, MLOA, STD, LTD, and ADA LOAs. This role involves making determinations based on state and federal regulations and ensuring that ongoing claim management aligns with company service standards and industry best practices. The LOA Admin operates under a Hybrid work arrangement, requiring three office days and two remote days per week, from an Acosta Group hub in Dallas, TX; St. Louis, MO; Rogers, AR; or any Acosta office in CST / EST locations.

Requirements

  • Associate’s degree in a relevant field of study (or three years of relevant work experience).
  • Two (2) years of 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.
  • Ability to multi-task and manage multiple projects.
  • Ability to 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 a combination of Case Management experience preferred.
  • Human Resources experience and ADA knowledge preferred.

Responsibilities

  • Review PLOA and ADA claims to determine eligibility and certification in compliance with state and federal regulations.
  • Review medical documentation to determine the validity of clinical information and to determine medical necessity.
  • Ensure coordination of efforts at each stage in the LOA process, including the Return to Work process and Accommodation requests.
  • Identify action plans and manage the Return to Work process, making timely case decisions.
  • Communicate decisions and ongoing expectations with claimants and supervisors.
  • Serve as the main contact for disability and ADA carriers, as well as physicians, associates, supervisors, and HRBPs.
  • Educate and train the field on the LOA process to ensure compliance.
  • Track and code documentation in accordance with internal workflow processes.
  • Stay abreast of related regulatory policies.
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