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The Benefits & LOA Coordinator will assist with employee benefit administration and analyze Family Medical leave (FMLA) requests to make determinations based on state and federal regulations and to ensure that on-going claim management is within company service standards and industry best practices.
Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. The Benefits & LOA Coordinator will analyze FMLA claims to determine eligibility and certification in compliance with state and federal regulations and identifies action plan and makes timely case decisions based on service expectations as established with the vendor.
Responsibilities:
• Ensures timely and accurate delivery of key processes, including workflows, job aids, role instructions and procedures to work collaboratively with other functions.
• Responsible for day-to-day interaction with employees and management of benefit enrollments in the HR system including qualifying life events.
• Verifies eligibility of enrolled dependents.
• Manages payroll premium adjustments and premium payments/benefits contributions for employees on leave.
• Manages Cares reimbursement benefit with third party administrator.
• Administers 401(k) plan eligibility notices, maintains participant information with vendor and participant contribution changes.
• Responsible for day-to-day interaction and LOA management with Leave Administrator/Vendor.
• Oversees the extended leave or interactive process with employees and work in conjunction with other HR team members who support accommodations including ADA accommodations related to leaves and returns from leave.
• Manages scheduling of training sessions on subject matter topics, such as services and updates.
• Responds to questions and concerns and channels the appropriate resource. Participates in continuous improvement initiatives to create streamlined leave management processes
• Establishes protocol for data entry accuracy including self-audit, metrics, etc. Work closely with appropriate team members on internal leave of absence processes involving internal and external systems.
• Communicates leave decisions and on-going expectations with employees, leaders and vendor partners.
• Performs other job-related duties as assigned.
Qualifications:
• High School diploma
• 3+ years disability management and/or FMLA administration experience is required
• 3+ years benefits administration experience is required
• Human Resources experience including FMLA administration preferred
• Knowledge of state and federal FMLA regulations, Specifically, CA Leave and PSL regulations
• Knowledge of medical disability management
• Experience with ADP HRIS preferred
• Experience working with a third-party Leave of Absence Administrator
• Demonstrated strong verbal and written communication skills
Landmark Health is a high growth, entrepreneurial, home-based provider team that is transforming healthcare by serving the extensive needs of the most chronically ill in our communities. Physicians lead a multidisciplinary team and serve on the frontlines delivering preventive and urgent medical care in the homes of complex, frail, and vulnerable patients.
Through the integration of technology, a highly innovative care delivery model, and multidisciplinary clinical teams, Landmark delivers health management capabilities at scale for the frailest and most clinically complex segments of the population – the 3-5% of members that account for 20-30% of all national healthcare expenses annually.