PRIMARY PURPOSE: To analyze reported Family Medical Leave (FMLA) requests; 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.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
• Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
• Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
• Communicates decisions and on-going expectations with claimants and clients.
• Maintains professional client relationships.
• Attendance during scheduled work hours is required. 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required. College degree and/or college courses preferred.

Experience

Two (2) years of administrative/general office experience or equivalent combination of education and experience required. Disability management and/or FMLA administration experience preferred.

Skills & Knowledge

• Knowledge of state and federal FMLA regulations
• Knowledge of medical disability management
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances.  Management retains the discretion to add or to change the duties of the position at any time.