FMLA Specialist II

FMLA Specialist II

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."

PRIMARY PURPOSE: To analyze reported Family Medical Leave 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

1. Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
2. Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
3. Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
4. Communicates decisions and on-going expectations with claimants and clients.
5. Maintains professional client relationships.
6. Supports the total performance management initiative.

QUALIFICATIONS

Education & Licensing
High school diploma or GED

Experience
Two (2) years disability management and/or FMLA administration experience required. Human Resources experience including FMLA administration is 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.

Sedgwick CMS is an Equal Opportunity Employer

and a

Drug-Free Workplace