Leave of Absence Case Manager

US-MN-Minnetonka
2 weeks ago
Job ID
2016-1035
# of Openings
5
Category
Customer Service/Support

Overview

Who We Are: Reed Group is a dynamic, fast growing organization that works in a niche industry most commonly known as Third Party Administration. We are known for being a leader in managing absences for major companies including Fortune 100 companies. More specifically, instead of employers managing the process when an employee needs to go out on leave for FMLA (the family medical leave act) or for Short Term or Long Term Disability, we handle it for them. As a result we have a large customer operations team of talented individuals who manage our client’s employee cases.

We build the software (we have a large group of developers) to manage the entire work flow which is why you could easily think of us as a technology company. We also have a content business called MDGuidelines that contains treatment recommendations for best managing an employee back to work.

Right now we are over 1,900 employees (and growing daily).

 

The Reed Group Mission: We are about helping people get back to work. Often, this means helping people through difficult times in their lives. We help doctors do their best for their patients and we help employees protect their jobs. Our mission is: We believe there's a better way to help employers increase productivity, improve healthcare quality and help employees back to productive life.

Responsibilities

The Leave of Absence (LOA) Case Manager administrates our client's Family and Medical Leave by coordinating the Federal, State and Client Company leave policies. This position ensures compliance and proper documentation in regard to all applicable laws, regulations, and plans, including HIPAA, FMLA, as well as all individual State Leave Acts, Military, and Company Sponsored Leave Programs.

 

RESPONSIBILITIES:

  • Use experience and knowledge to maintain FML information while understanding customer relationships and expectations for various assigned accounts

  • Provide total claim management

  • Obtain and review updated medical evidence of reason for leave upon receipt

  • Review guidelines for eligibility

  • Compose and send communications to employers and employees

  • Track all stand-alone leaves and those running concurrently with Workers Compensation and Short Term Disability

  • Assure customer service with client companies and claimants

  • Resolve problems within scope of authority, while bringing others to the attention of their manager

  • Provide support to Intake/Customer Service team as needed in the Call Center

Qualifications

  • Strong oral and written communication skills to interact with claimants clearly, concisely, and persuasively
  • Knowledge of the Family Medical Leave Act
  • Knowledge of State mandated leave plans
  • Knowledge of telephone etiquette
  • Ability to interact professionally with a diverse group (executives, managers, legal, and subject matter experts)
  • Ability to self-motivate
  • Ability to prioritize work continually and produce a significant volume of work efficiently within performance standards
  • Ability to work in a face-paced environment with short deadlines

EDUCATION AND EXPERIENCE:
 

  • High School Diploma or higher education

  • 1-3 years of customer service experience
  • Verbal and written communication skills
  • Medical Certification

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