Integrated ADM Specialist

This is a fully remote position, open to applicants in Alabama, +5 more states.

📋 Description

• Act as the main subject matter expert and facilitator for the ADA interactive process and PWFA.

• Oversee, manage, process, and adjudicate FMLA, state, company-specific leaves, as well as both straightforward and complex STD claims.

• Evaluate FMLA requests and make determinations in accordance with federal and state regulations.

• Communicate with clients and claimants regarding all facets of the claims process.

• Assist employees and clients throughout the reasonable accommodation process, providing recommendations for ADA and PWFA claims.

• Conduct case assessments and reach out to employees, managers, and HR via telephone or email.

• Document factors that may support or hinder successful return to work in relation to essential job functions and undue hardships.

• Review pertinent information and consult medical resources to validate decisions and recommendations.

• Analyze FMLA medical certifications and documentation, ensuring compliance with regulatory timeframes.

• Inform STD claimants about necessary documentation, timeframes, claim status, approvals, denials, and consultations.

• Establish return-to-work goals and facilitate return-to-work planning between employees and supervisors.

• Serve as the primary case contact and maintain communication with employer representatives throughout the claim process.

• Adhere to operating procedures and training requirements.

• Participate in case management and disability management meetings and training sessions.

• Complete other assigned projects and tasks.

⛳️ Requirements

• A minimum of 5+ years of direct experience in managing Leaves, STD, and ADA/PWFA claims, or high-level disability case management.

• Proficient computer skills with the ability to operate primarily in a paperless environment.

• Strong interpersonal skills and a helping attitude.

• Skilled in assessment and problem-solving.

• In-depth knowledge of the Americans with Disabilities Act (ADA), Pregnancy Workers Fairness Act (PWFA), FMLA, and state-specific leave laws.

• Experience with managing self-insured Short Term Disability (STD) plans and company-specific paid and unpaid leave policies.

• Ability to review and interpret medical documentation and translate clinical restrictions regarding essential job functions.

• Exceptional conflict resolution and negotiation abilities.

• Capacity to handle sensitive medical information with utmost confidentiality and empathy.

• High emotional intelligence and the ability to manage stressful situations related to employee health and legal compliance.

🏝️ Benefits

• Equal Opportunity Employer.

• Accommodation for applicants with disabilities during the recruitment process, as required.