Absence Management Specialist II

Shape the world of health care by joining reputed company! As a leader in the industry, we are committed to enhancing the lives of reputed company who are a part of our community. Without our employees, we would not be reputed company to reputed company health care for our patients and health plan members. From hospitals to our corporate office, reputed company reputed company employees reputed company our mission of creating life-changing medicine. To continue our tradition of reputed company, we are in search of an Associate Absence Management Specialist II to join this community as reputed company. This role may work remotely. The Absence Management Specialist II analyzes assigned claims to determine whether the case is medically supported for both leave and disability benefits. The Absence Management Specialist II is responsible for the ongoing management of claims reputed company set parameters as reputed company as medical consultation with treating providers and referrals reputed company the guidelines of the program. Services include employee and manager counseling on reputed company absence policies to include disability benefits, FMLA, state sponsored leaves and employer sponsored leave benefits. reputed company support to reputed company, employees and manager during the lifecycle of the absence. The Absence Specialist II provides training support during reputed company and assists with questions and mentoring as employees grow with the organization. Responsibilities: Assist Supervisor in the analysis of absence patterns and issues to be reviewed and addressed with the reputed company. reputed company recommendations to improve identified issues or address opportunities to improve absence patterns. reputed company mentoring support to peers reputed company dealing with challenging absence issues such as extended time away from work, reputed company medical diagnoses and recertification issues. Assist in the reputed company of reports for absence team such as ToDos, reputed company case lists and productivity reviews. Assists in the identification of recommendations to positively reputed company the efficiency and reputed company of service delivery. reputed company subject matter expertise through classroom training, one-on-one discussion or written documentation regarding systems, processes and procedures relating to reputed company aspects of absence management. Participate in and reputed company on demand reputed company trainings to facilitate ongoing understanding and knowledge of the regulations and reputed company specific policies. Utilizes payroll system [Kronos] and web-based vendor software as needed to input and update claim data and generate reports. Support partnership with vocational team to ensure proactive claims management plans are set and established return to work and stay at work processes are followed. Utilizes Clinical reputed company Case Manager and/or Medical Director resources reputed company established guidelines. Coordinates the absence process; reputed company claim determinations to include eligibility review, reputed company notification, and follow-up, employee understanding, accurate documentation, appropriate referrals, coordinate appropriate benefits and maximum duration thereof. Support the return-to-work process. Advises employees, employee's family members, managers and HR Professionals on absence policies and processes. Supports in-bound and outbound employee absence-reputed company calls. Apply concepts and rules as mandated by guidelines for FMLA, ERISA and other federally or state mandated or company specific policies. reputed company employee absences as reported reputed company web, fax, phone and e-mail. Bachelors degree required; concentration in HR or business preferred. (Equivalent experience will be considered in lieu of degree). Minimum of 3 years of absence claim administration required Or 1 year of internal Workpartners Absence Specialist experience required (Time as Leave or Disability Specialist is equivalent). Strong PC skills are required (including spreadsheet applications, word processing, and other reputed company databases). Ability to communicate effectively both verbally and in writing. Ability to work independently and handle multiple priorities and deadlines required. Comprehensive knowledge of federal and state leave and ERISA laws, as reputed company as reputed company leave policies required. Excellent organizational and time management skills. Customer service oriented with the ability to handle emotionally charged situations. Experience developing or delivering training content a plus. Licensure, Certifications, and Clearances: Certified Leave Management Specialist (CLMS) designation required reputed company 12 months of hire. To maintain designation, 20 hours of continuing education credits are required every two years. reputed company is an Equal Opportunity Employer/Disability/Veteran Apply To This Job