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4Oct

LOA Coordinator

Sedgwick CMS, Dubuque, IA Dubuque, IA

Leave of Absence (LOA) Coordinator

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, "Claim Your Future."

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 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.

 

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Job Details

Req Num --
ID 412109
Location
Dubuque, IA
Dubuque, IA
Positions 5
Type
Employee
Status
Full Time
Pay --
Categories
Insurance
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 --
Education High School/GED

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