By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations.  Ensures that on-going claim management is within company service standards and industry best practices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes.
• Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations.
• Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client.
• Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system.
• Maintains professional client relationships and provides excellent customer service.
• Meets the organization’s quality program(s) minimum requirements.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing
High school diploma or GED required. State certification or licensing in statutory leaves is beneficial.

Experience
One (1) year of administrative/general office experience or equivalent combination of education and experience required. FMLA administration experience preferred.

Skills & Knowledge

• Knowledge of state and federal FMLA regulations
• Excellent oral and written communication, including presentation skills
• Proficient computer skills including working knowledge of Microsoft Office
• Analytical and interpretive skills
• Strong organizational and multitasking skills
• Excellent interpersonal skills
• Ability to exercise judgement in accordance with well-defined policies and procedures
• Ability to work in a team environment
• Ability to meet or exceed performance competencies as required by program

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: Ability to sit at a desk for extended periods while operating a computer and phone system. 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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.