Manage leave of absence, return-to-work, and accommodation requests (FMLA, PLOA, MLOA, STD, LTD, ADA). Review medical documentation for eligibility and medical necessity, coordinate with carriers, physicians, HRBPs and supervisors, track and code documentation, educate field on LOA processes, and ensure compliance with state and federal regulations and company standards.
The Leave of Absence (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 3 Office days weekly from an Acosta Group hub in Dallas, TX; Jacksonville, FL; St. Louis, MO ; Charlotte, NC
Responsibilities- 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. Educate and train the field on LOA process to ensure compliance.
- Tracks and codes documentation in accordance with internal workflow processes.
- Stays abreast of related regulatory policies.
- Associate’s degree in relevant field of study (or three years of relevant work experience).
- Two (2)+ years disability management and/or FMLA administration experience required.
- CCM, RN or BSN certification with combination of Case Management experience preferred.
- Human Resources experience and ADA knowledge preferred.
Knowledge, Skills and Abilities:
Strong knowledge of leave of absence.
Critical Thinking.
Self-Starter.
Ability to identify basic problems, analyze information and draw valid conclusions/resolution.
Written and verbal communication skills.
Multi-task and manage multiple projects.
Work independently in a fast-paced environment with changing priorities.
Demonstrated ability to deal with confidential information.
Problem solving, time management and priority setting skills.
Strong computer and customer service skills.
#DiscoverYourPath
Acosta Group is a collective uniting the most trusted retail, marketing, and foodservice agencies—Acosta, ActionLink, CORE Foodservice, CROSSMARK, Mosaic, Premium Retail Services, and Product Connections. Together, we connect consumers with the brands they love through omnichannel selling, merchandising, brand advocacy, and integrated marketing.
We recognize our associates are the foundation of our success. That’s why we prioritize your growth, development, and well-being to help you reach your full potential. With programs designed to support a fulfilling work-life balance, we offer opportunities that fit your lifestyle and ambitions—whether you’re looking for part-time flexibility or full-time career advancement.
Ready for a career path that’s as unique as you? Discover your path at Acosta Group!
Acosta Group is an equal opportunity employer and will ensure that applicants with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed, please contact [email protected]. Be sure to include "Applicant Accommodation" in the subject of your email to expedite the request.
Acosta Group believes in good faith that the minimum and maximum annual salary or hourly compensation range for this opportunity is accurate and reasonable at the time of posting.
The Acosta Group utilizes E-Verify for validating the ability to work in the United States for all job candidates. If you want more information on what this entails and your rights as a job applicant, please use the link provided to access information on our use of E-Verify and your right to work. Employer Resources (e-verify.gov)
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Manage leave of absence, return-to-work, and accommodation requests (FMLA, ADA, STD, LTD, PLOA, MLOA). Determine eligibility per federal/state regulations, review medical documentation, coordinate with carriers, physicians, HRBPs and supervisors, track and code documentation, and educate field on LOA processes to ensure compliance and timely case decisions.
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