Benefits 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; Dallas, TX; Jacksonville, FL; Rogers, AR; St. Louis, MO; or any Acosta office in CST / EST locations. Responsibilities 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. Qualifications 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. 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 and customer service skills. Acosta Group is an equal opportunity employer and will ensure that applicants with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed, please contact View email address on click.appcast.io. Be sure to include "Applicant Accommodation" in the subject of your email to expedite the request. #J-18808-Ljbffr