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30Sep

Claims Coordinator - FMLA

Sedgwick, Dubuque, IA Dubuque, IA

This listing has expired

Leave of Absence (LOA) Coordinator

 

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.

This listing has expired

Job Details

Req Num --
ID 758546
Location
Dubuque, IA
Dubuque, IA
Positions 8
Type
Employee
Status
Full Time
Pay --
Categories
Customer Service
Health Care
Insurance
EMSI Skills Disability Management
Family And Medical Leave Act Of 1993
Interpersonal Communications
Management
Microsoft Office
Organizational Skills
Presentations
Teamwork
Written Communication
Shifts
First Shift
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement

Preferred Candidates

Years of Experience 1-2 Years
Education High School/GED

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