About this role
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
Leave of Absence Representative
PRIMARY PURPOSE : To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and/or adjustments for client paid leave plans ensuring 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 and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or adjustments in compliance with client paid leave plans, policies, and 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.
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. College degree and/or college courses preferred.
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
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
NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.
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
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.