Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The LOA/Disability Case Manager Specialist will be responsible for coordinating the administration of Short-term Disability and FMLA plans.
How you will make an impact:
Provides a timely and thorough review of Short-term Disability, FMLA, and ADA claims and makes professional determinations
Manages the workflow for a large number of claims that will be managed by the LOA/Disability Case Managers to ensure equitable workload distribution and administering of claims within department standards
Provides advocacy case management to all appropriate LOA claims
Manages high impact LOA claims to identify the obstacles and opportunities for returning associates to work
Works with the medical provider, LOA clinic resource, managers, and Local HR to determine the return to work expectations and to facilitate the return to work process.
Minimum Requirements:
Requires a BA degree and a minimum of 4 years' experience in health and welfare benefits, disability management, HR operations, and/or benefits administration; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Experience working through the ADA process end-to-end preferred.
