Benefits Specialist in Philadelphia, PA
3 weeks ago
Hours:
9am-5pm; 8:30am-4:30pm; or 8:00am-4:00pm
OVERVIEW
We are looking for a
Benefits Specialist
who specializes in Leaves of Absence and FMLA. Our firm manages most of our leave of absences in-house. This person should have experience coordinating the leave of absence process for multiple states, especially New York, New Jersey and California. A good understanding of FMLA regulations and completing required medical forms. They should be very organized. On average we have 35-40 people on leave.
RESPONSIBILITIES:
Provide support for all U.S. leave of absence requests and workers’ compensation claims.
Effectively coordinates all leave requests to include general administration and management for each leave request and compliance with the Family and Medical Leave Act and all related state laws.
Serves as the subject matter expert for the leave and workers’ compensation programs in alignment and under the general direction and guidance of the Sr. Benefits Manager.
Interprets and administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA)
Administers all aspects of leaves, provides extensive case management and coordinates administrative aspects of the requests and claims.
Conducts/coordinates investigations into all reported workers’ compensation claims.
Coordinates and organizes all medical information and ensures that HIPAA and Employee Privacy guidelines are closely monitored and effectively executed.
Ensures that all reportable workers’ compensation claims are submitted to the company’s vendor within 48 business hours from the date of the incident.
Manages all administrative aspects of leave and workers’ compensation claims to include tracking hours used/taken and provides Payroll instruction to ensure that the pay for associates is accurate and correct.
Works closely with associates to ensure that all relevant completed medical documentation is submitted for timely review.
Maintains appropriate contact with all associates on leave and coordinates all aspects of return to work for associates on leave.
Produces and manages reporting metrics and analytics for all leave cases and workers’ compensation claims. Presents reports as requested.
Partners closely with all managers and supervisors on all leave cases and workers’ compensation claims.
Meets regularly with Sr. Benefits Manager to review claims’ status and develops strategies for resolution.
Administers LTD programs and vendor relationships.
Ensures that STD claims are coordinated with FMLA or general medical cases.
Coordinates and monitors accommodation requests and works closely with facilities to insure compliance.
90 Broad Street
Suites 319
New York, NY 10004
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