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Senior Benefits Administrator

3 months ago

Grand Rapids, United States Spectrum Health Full time

Job Summary

Responsible for the administration of leave benefits, including a strong focus and understanding of Americans with Disabilities Act (ADA) and how to interpret and administer accommodation requests by participating in the interactive process.

Essential Functions

Administers and coordinates integrated claims management involving Workers Compensation (WC) program, Short Term Disability (STD), Long Term Disability (LTD), Family Medical Leave Act (FMLA), American’s with Disability Act (ADA), Military and Personal Leaves in accordance with the respective organization’s Plan Documents, policies and applicable laws that govern them. Coordinates integrated claims management with WC Third Party Administrator, STD and LTD vendors to provide timely and accurate customer service. Investigates and follows up on abnormal activities with a claim. May represent Corewell Health in workers’ compensation hearings. Serves as a liaison between treatment providers, occupational health, ergonomic consultants, nurse case managers, TPA’s, vendors, legal counsel, staff, management, generalist and other HR departments to protect the rights of staff and reduce liability exposure of the organization. Communicates with providers of medical treatment regarding diagnosis and the length of disability with utilization of duration control guidelines as benchmarks. Collaborates, educates, advises, and maintains positive relationships between client groups (management and generalists of all entities) and various areas of human resources by serving as a liaison to procure specialty services (leave and ADA administration) such as notification of employees rights and reviewing of requests for leaves/accommodations while ensuring equitable treatment of employees. Identifies new or existing management employees who are in need of information/consultation regarding leaves and provides information accordingly. Determines when to/and coordinates consultation with legal counsel so as to best advise on matters relating to HR standards and other regulatory compliance requirements. Facilitates effective communication between management and employees regarding leave and ADA issues to promote employee morale and maintain an environment conducive to achieving reduced costs and increased productivity within the legal framework provided to the organization via the laws and policies that govern leaves. Calculate and code hours owed into the payroll system. Answer customer questions and concerns regarding disability pay. Provides appropriate documentation into the IDM Claims management computer data base and the hard copy files via department standards. Manages restricted work program within the organization for disabled workers. Oversees staff that are placed in temporary placements in or outside of their home department to see that restrictions and schedules are adhered to by the staff member and management. Maintains up to date knowledge of the laws and pertinent legal decisions pertaining to the administration of leaves.

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match

Qualifications

Required

High School Diploma or equivalent 5 years of relevant experience Workers Compensation, FMLA/STD experience, computer experience, including Claims Management software, insurance background/experience, ADA, retirement plan administration, or benefits experience

Preferred

Associate's Degree Human Resources or Health Management

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Primary Location

SITE - Corewell Health Place Building B - 648 Monroe - Grand Rapids

Department Name

HR People Operations - Leave Administration

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 to 5:00

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling