Benefits Administrator/FMLA Leave Coordinator

Insurance Placement Solutions has an immediate opening for a Remote Benefits Administrator/FMLA Leave Coordinator with our client. As a member of our client's claims team, utilize your knowledge of short-term disability claims to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Benefits Administrator/FMLA Leave Coordinator Responsibilities

• Responsible for administrative duties including, but not limited to, department phone calls, faxes, voicemails, mailings, managing the filing system, problem solving, invoices, and other clerical duties for the department
• Communicate with clients both written and verbally to assist with requests and provide technical support
• Obtain, record, and compile data and information to support all functions of case management.
• Assist with the coordination of health management services with vendors, clients, and other internal team members, including preparing and modifying documents.
• Completes outbound calls in support of leave administration and case management division
• Independently administers various leaves, including but not limited to FMLA, Non-FMLA Medical leave, intermittent family member leave, employee serious health conditions, and family member serious health condition leave.
• Determine leave eligibility, including calculating allowed benefit hours and completing Eligibility Notice and Rights & Responsibilities within 2-5 days.
• Provides employee and family member medical certifications. Independently interprets completed certifications and evaluates if requirements are met using a predetermined protocol.
• Requests authentication and/or clarification for incomplete or insufficient medical certifications in compliance with Depart of Labor Family Medical Leave regulations
• Completes and Communicates Designation Notice within 3-5 Business days of having the necessary information. Make the determination via email and mail to employees and required employer contacts in compliance with regulations and protocols.
• Handles short-term disability claims coding, data integrity, and administration for specific levels of claims, determining disability approval and benefits along with concurrent leave management.

Experience

• Previous experience with Leave Benefits Administration
• Medical terminology and insurance

​Certifications

• Must possess or be willing to pursue certification as a Certified Leave Management Specialist

​About Insurance Placement Solutions

IPS is an insurance staffing and recruiting firm dedicated to the insurance industry, including insurance claims jobs in the US. Our services are designed to be a resource for clients to gain access to high-caliber talent. Many of our clients do not have the dedicated manpower to quickly fill their temporary, temporary-to-hire, or direct hire vacancies. That is where we come in. Our clients are able to utilize our services to maintain business as usual during unforeseen interruptions and fluctuating business needs. Plus, our candidates benefit from gaining backdoor access to highly sought-after positions with top companies in the industry.