Workplace Accommodation Coordinator

Crawford•Peachtree Corners, GA

19h•Remote

About The Position

Serve as a key liaison between employers, employees, and treating physicians to support safe and timely return-to-work outcomes. This role involves coordinating communication between the employee, employer, and physician, managing medical release information and work status updates, and ensuring compliance with ADA, state, and client requirements. The coordinator will also work to reduce time away from work and improve claim outcomes, tracking and measuring results using established guidelines and procedures. The impact of this role includes achieving faster return-to-work, fewer lost workdays, and positive outcomes on Workplace Accommodation claims.

Requirements

High School Diploma/GED
2 + years of STD/LTD claims adjudication.
Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations
Ability to work independently while assimilating various technical resources
Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
Effective interpersonal skills capable of dealing with external sources and all levels of employees.
Strong ability to identify, analyze and solve problems.
Capable of quickly learning new tools.
Experience with excel at least at a beginner level is required.
Ability to interpret and manipulate tables of data to draw conclusions and identify trends.
Excellent logic; creative and critical thinking skills; solutions-focused.
Excellent oral and written communication.
Highly organized thinking, writing, and presenting so that key points are delivered powerfully and clearly.
Ability to work in a team environment.
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Good negotiation skills
Ability to meet or exceed Performance Competencies

Nice To Haves

Experienced in the TPA or self-administration services
Experience with FMLA/State leave claims
Related experience in claim services

Responsibilities

Coordinate communication between employee, employer, and physician
Manage medical release information and work status updates
Ensure compliance with ADA, state, and client requirements
Reduce time away from work and improve claim outcomes
Track and measure results using established guidelines and procedures
Assists in facilitating light duty accommodations and assisting employees in transitioning to full duty and provides alternative work solutions if unable to return to light or full duty.
Reviews claim data with clients using various reports and tools to articulate, administer, and manage processes for updating claims across systems.
Collaborates with technical operations to maintain and update the business requirements for enhancing the tools leveraged in the RTW service model.
Serves as a liaison between the employer, employee, and treating physician to facilitate workplace accommodations.
Receives and reviews accommodation requests
Converts initial employee interview per process guidelines.
Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements.
Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
Maintains professional client relationships.
Supports the organization's quality program(s).