PURPOSE OF POSITION:
The primary purpose of the FMLA Administrator is to manage client’s FMLA program. The job duties include but are not limited to determining eligibility, approving or denying FMLA requests, corresponding with applicants and providers, and tracking FMLA leave. The FMLA administrator should also be prepared to assist the client with information needed by the Human Resources or Benefits Departments, which can include paperwork to initiate status changes in the payroll system, and reports needed to pay other company benefits. The FMLA Administrator works on-site at the client’s location in Canton or North Canton.
RESPONSIBILITIES AND EXPECTATIONS:
- Review employees work history to determine eligibility for FMLA.
- Approve and deny FMLA requests and send the Department of Labor’s required notifications within the established time frames.
- Correspond with employees and their representatives regarding FMLA.
- Conduct claims reviews with Timken as needed.
- Respond to incoming calls from employees, providers, and representatives.
- Track hours taken by employees on FMLA, notifying them when their leave time is about to expire.
- Report to management regarding the status of employees utilizing FMLA.
- Correspond with payroll and benefits regarding appropriate FMLA deductions.
- Be knowledgeable regarding federal and state laws that concern FMLA.
- Process Improvement: Continuously reviews, recommends and implements improvement steps, as needed or directed.
- Seeks supervisory guidance/approval as appropriate.
- Portrays professional image: follows dress code; communicates with internal and external customers in a professional manner, including appropriate verbal and written grammar.
- Promotes and demonstrates professional standards to enhance the development of the department.
- Practices ethical conduct.
- Meets acceptable attendance and punctuality expectations (excluding FMLA)
The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and are not a detailed description of all the work requirements that may be inherent to this position.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.
QUALIFICATIONS: - Education: Associate’s Degree preferred, minimum High School diploma or GED with two years of claims management or insurance related experience.
- Experience: Good keyboard skills; Knowledge of CPT Coding, ICD9 and ICD 10 Coding, and medical terminology; Computer experience in a windows operating system; Experience with word processing and spreadsheet applications; Individual should be proficient with basic math skills.
- Remains current in educational areas related to job description.
- Organized self-starter with focused goals and deadlines.
WORKING CONDITIONS: - Normally works eight hours per day; 8:00am to 4:30pm. Occasional overtime as needed to meet deadlines.
- Lunch and break periods must be coordinated with other staff members to maintain adequate office staffing during departmental operating hours.
- Office environment with moderate noise level.
- Frequent sitting, use of hands/fingers across keyboard or mouse, and long periods working at a computer.
Occasionally walking, standing, twisting/turning and reaching upward or forward during work day.
Location: Aultman Health Foundation · AC SELF INS - AULTCOMP TPA
Schedule: Full Time, Day Shift, 8am-4:30pm