Leave of Absence Representative

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of more than 14,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland.

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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing

• High school diploma or GED

Experience

• Two (2) years disability management and/or FMLA administration experience or equivalent combination of education and experience required.
• Human Resources experience including FMLA administration 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

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