HR LOA Case Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Initiate and respond to inquiries regarding leave and disability events, as well as the benefits and options available to employees.

• Act as a primary contact for assigned employees, delivering comprehensive case management services for 150–200 employee cases.

• Evaluate medical documentation and adjudicate leaves in accordance with leave plans, as well as federal and state regulations and benefit plans.

• Utilize duration guidelines, best practice tools, and company resources to manage leave events effectively.

• Review and modify case management plans to meet the evolving needs of employees.

• Handle sensitive situations and troubleshoot issues to eliminate obstacles prior to, during, or after leave events.

• Ensure clear communication regarding employee-impacting issues throughout leave events.

• Facilitate seamless return-to-work and ramp-back plans for employees.

• Provide education to managers and business partners about employee concerns and needs related to leave or return.

• Deliver regular updates to employees and stakeholders both verbally and in writing.

• Ensure compliance with standard operating procedures, regulations, and company policies.

• Maintain accurate and timely records and documentation in the system.

• Collaborate and coordinate with third-party administrators, HR, Safety, Legal, Payroll, Benefits, team members, and other departments/systems.

• Offer corporate-level case management support in a dynamic, high-volume client environment.

⛳️ Requirements

• Minimum of 1 year of experience as a case manager utilizing case management systems, assessing cases for eligibility, determining appropriate benefits, and developing/executing a case management plan.

• 6 years of relevant experience may substitute for a Bachelor’s degree.

• 2 years of experience in Human Resources or customer service within the leave and/or disability sector can be considered equivalent to 1 year as a case manager.

• Proficient in MS Word, Excel, Access, Outlook, and PowerPoint.

• Strong focus on customer service, embodying a high standard and a mindset of continuous improvement.

• Capacity to be adaptable and flexible to changes and new scopes of work.

• Exceptional verbal and written communication skills.

• Outstanding organizational and time management capabilities.

• Strong technical skills and computer proficiency, including the ability to learn new systems and navigate multiple systems/windows simultaneously.

• Ability to prioritize, manage, and complete tasks/projects under tight deadlines.

• Knowledge of federal and state Leave and Disability regulations, particularly ADA/ADAAA and FMLA.

• Experience handling confidential information.

• Background in providing case management services for a large, multi-state employer or on behalf of a carrier/TPA.

• Experience advising employees or managers on leave of absence, disability plans, accommodations, human resources, benefits, or employee issues.

• A dedicated work-from-home setup is required.

• Compliance with the company's virtual work-from-home policy is essential.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance options.

• 401(k) Retirement Plan with both Pre-tax and Roth post-tax contribution options available.

• Voluntary Life Insurance & AD&D for employees and their dependents.

• Short and long-term disability coverage.

• Health Savings Account (HSA) availability.

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).