Associate Leave and Claims Administrator

: Description:

Job Title: ASSOCIATE LEAVE AND DISABILITY CLAIMS ADMINISTRATOR

Reports To: Operations Manager

FLSA Status: Non-Exempt

General Statement of Position

Administer employee leave of absence and self-insured short-term disability plans for multiple clients from intake through return-to-work. Responsibilities include, with ongoing oversight, working directly with employees to explain client leave policies, adjudicate disability and paid family leave claims, track leaves in accordance with Federal and State leave laws, pay benefits, and consult on a regular basis with multiple client HR teams.

The Company

We are a highly experienced and successful leave and disability claims company. The Larkin Company prides itself on providing a personal touch. With a forward thinking, modern and creative approach, we take strong pride in the exceptional service that we provide to our clients and their employees. What makes us unique is the combination of our expert knowledge in the field of leave administration and disability management, coupled with our personal, friendly, supportive, and professional approach to customer service. Providing an excellent customer experience is not only a continuous goal of ours at The Larkin Company, but it is something that we continuously achieve; evidenced in the feedback that we receive from our clients and their employees. Our customer focus does not originate from a feeling that “we must provide good service”, but instead a genuine passion to provide great service.

The Team

We are a highly collaborative work environment. We don't print job titles on our business cards, because we feel that every colleague's contribution is equal and essential to achieving our goals as a company. We enjoy a refreshing, fun, and supportive work environment; while maintaining a culture which demands high quality, efficiency, and the utmost professionalism.

The Role (Expectations)

The ideal candidate will be someone who shares our passion for excellent customer service, with strong administration skills, is highly organized and open-minded. They should be able to work in a fast paced, continuously changing work environment. The ideal candidate should have the ability to adapt to change quickly and should be able to contribute to The Larkin Company team, by being a friendly, helpful, and valued team member. Someone who desires to learn and has strong research skills with an exceptional ability to read, interpret, and advise employees/employers on employer policies, federal/state laws and best practice guidance related to leave and disability claims management. We want someone who will not only strive to become a subject matter expert in the field, but who also believes in continuous development and improvement, and who will participate in other company activities and projects to increase their contribution to the company and its broader success.

Job Duties and Essential Functions:

The Associate Administrator position is a training position requiring ongoing oversight until promoted to Administrator, at which time they will operate with more independent judgment and autonomy.

• With ongoing oversight, administer at work accommodations, leaves of absence, disability and/or LOA pay claims for multiple (8+) clients per client policies while adhering to Federal and State leave law regulations. Leave administration includes but is not limited to confirming leave eligibility, reviewing medical documentation, communicating with healthcare providers, client employees and members of the HR team, and confirming return-to-work.
• With ongoing oversight, adjudicate and process claims: entering claims into SAM, reviewing required documents, and based on plan documents, determining whether the claim is payable
• Provide excellent customer service by answering phones and communicating effectively with clients' employees in a timely manner - answering questions regarding leave entitlement, client policies, and benefits (disability, GHI, FSA, etc.).
• Draft and send letters to employees with approval regarding leave entitlement and disability benefits.
• When applicable, initiate return-to-work accommodations while adhering to relevant Federal regulations.
• Update SAM with relevant information in a timely manner.
• Maintain high quality employee leave and disability claim files according to set standards and naming conventions.
• Generate and distribute weekly and/or monthly reports as per client request in a timely manner.
• Communicate regularly with client Payroll departments to ensure the accurate coordination between client leave compensation pay and other income replacement benefits.
• When required, coordinate between short-term disability insurance carriers, worker's compensation insurance providers and the employee.
• When requested, may be asked to co-participate in client meetings, company-wide off-site meetings, and training programs which may require some infrequent travel.
• Be receptive to feedback, willing to learn, and embrace continuous improvement.
• Plan ahead, manage time well, be on time, and think of better ways to do things.
• Be helpful, respectful, approachable and team-oriented, building strong working relationships and contributing to a positive work environment.
Weekly self-audits
• - standard leave and claim status reports sent to manager with explanation of any outliers.
• Expected to work 40 hours per week.
• Perform other duties as assigned in order to meet business needs.
• Perform above duties in the office between regular business hours: Roseville, CA office location - Monday to Friday, 8am to 5pm (PST); Atlanta, GA office location - Monday to Friday, 8:30am to 5:30pm (EST)

Requirements:

• A four-year college degree or a professional certification in a similar or related field preferred, or any equivalent combination of education and related experience is required.
• Strong passion for providing excellent customer service.
• Willingness to learn and a positive attitude.
• Receptive to ongoing supervision and guidance.
• Strong organizational, quantitative, and verbal/written communications skills.
• Strong multi-tasking skills.
• Excellent follow through and common sense.
• Knowledge of basic accounting principles.
• Excellent attention to detail.
• Proficient typing and strong knowledge of MS Excel and MS Word.
• Ability to comprehend, edit, and use a variety of informational documents including but not limited to disability plan documents and client leave policies.
• Ability to comprehend and interpret a variety of reference books and manuals including administrative manual, personnel policies, and state and federal regulations.
• Ability to keep abreast of any changes in law, policy, methods, procedures, etc. as they pertain to clients.
• Ability to communicate effectively and work closely with fellow administrators, support staff, and managers.

Extensive training on FMLA, CFRA, CA PDL, and other state laws pertaining to leave and disability benefit administration is a part of the onboarding process.

The Larkin Company is an equal opportunity employer that is committed to providing all employees with a work environment free of discrimination and harassment. We celebrate diversity and welcome applicants from every background and life experience.