LOA Administrator

Acosta • Jacksonville, FL

3d • Hybrid

About The Position

The Leave of Absence (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 position offers a Hybrid work arrangement, requiring three office days per week from an Acosta Group hub located in Dallas, TX; Jacksonville, FL; St. Louis, MO; or Charlotte, NC.

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.
• 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 handle confidential information.
• Problem-solving, time management, and priority-setting 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 ascertain medical necessity.
• Ensure coordination of efforts at each stage of 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 to claimants and supervisors.
• Serve as the main point of 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.

What This Job Offers

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