LOA Administrator

Job description

The LOA Administrator, will manage all LOA, Return to Work and Accommodation requests, including FML, PLOA, MLOA, STD, LTD, and ADA LOAs; 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. The LOA Admin is a Hybrid work arrangement, requiring weekly (3 Office days / 2 Remote days), from an Acosta Group hub in Charlotte, NC; Jacksonville, FL; or any Acosta office in CST / EST locations. Stays abreast of related regulatory policies. - Review PLOA and ADA claims to determine eligibility, certification in compliance with state and federal regulations, review medical documentation to determine validity of clinical information, and to determine medical necessity. - Ensures coordination of efforts at each stage in the LOA process including the Return to Work process and Accommodation requests. - Identifies action plan; manage Return to Work process; and makes timely case decisions. Communicates decisions and on-going expectations with claimants and supervisor. - Main contact for disability and ADA carriers, as well as physicians, associates, supervisors and HRBPs. Educ...