LOA Administrator

The LOA Administrator, will manage all LOA, Return to Work and Accommodation requests, including FML, PLOA, MLOA, STD, LTD, and ADA LOAs; 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.

The LOA Admin is a Hybrid work arrangement, requiring weekly (3 Office days / 2 Remote days), from an Acosta Group hub in Charlotte, NC; Jacksonville, FL; or any Acosta office in CST / EST locations.

• Associate’s degree in relevant field of study (or three years of relevant work experience).
• Two (2) years disability management and/or FMLA administration experience required.
• CCM, RN or BSN certification with combination of Case Management experience preferred.
• Human Resources experience and ADA knowledge preferred.

Knowledge, Skills and Abilities:

• Strong knowledge of leave of absence.
• Critical Thinking.
• Self-Starter.
• Ability to identify basic problems, analyze information and draw valid conclusions/resolution.
• Strong written and verbal communication skills.
• Multi-task and manage multiple projects.
• Work independently in a fast-paced environment with changing priorities.
• Demonstrated ability to deal with confidential information.
• Problem solving, time management and priority setting skills.
• Strong computer skills.

Strong computer and customer service skills.

#DiscoverYourPath

• Associate’s degree in relevant field of study (or three years of relevant work experience).
• Two (2) years disability management and/or FMLA administration experience required.
• CCM, RN or BSN certification with combination of Case Management experience preferred.
• Human Resources experience and ADA knowledge preferred.

Knowledge, Skills and Abilities:

• Strong knowledge of leave of absence.
• Critical Thinking.
• Self-Starter.
• Ability to identify basic problems, analyze information and draw valid conclusions/resolution.
• Strong written and verbal communication skills.
• Multi-task and manage multiple projects.
• Work independently in a fast-paced environment with changing priorities.
• Demonstrated ability to deal with confidential information.
• Problem solving, time management and priority setting skills.
• Strong computer skills.

Strong computer and customer service skills.

#DiscoverYourPath

• Review PLOA and ADA claims to determine eligibility, certification in compliance with state and federal regulations, review medical documentation to determine validity of clinical information, and to determine medical necessity.
• Ensures coordination of efforts at each stage in the LOA process including the Return to Work process and Accommodation requests.
• Identifies action plan; manage Return to Work process; and makes timely case decisions. Communicates decisions and on-going expectations with claimants and supervisor.
• Main contact for disability and ADA carriers, as well as physicians, associates, supervisors and HRBPs. Educate and train the field on LOA process to ensure compliance.
• Tracks and codes documentation in accordance with internal workflow processes.
  
  Stays abreast of related regulatory policies.

• Review PLOA and ADA claims to determine eligibility, certification in compliance with state and federal regulations, review medical documentation to determine validity of clinical information, and to determine medical necessity.
• Ensures coordination of efforts at each stage in the LOA process including the Return to Work process and Accommodation requests.
• Identifies action plan; manage Return to Work process; and makes timely case decisions. Communicates decisions and on-going expectations with claimants and supervisor.
• Main contact for disability and ADA carriers, as well as physicians, associates, supervisors and HRBPs. Educate and train the field on LOA process to ensure compliance.
• Tracks and codes documentation in accordance with internal workflow processes.
  
  Stays abreast of related regulatory policies.