Team Leader - Operations

Description and Requirements

• · Administer ADA (Americans with Disability Act) standalone claims
• · Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems.
• · Promptly review new ADA, evaluate against appropriate leave plans and make initial claim decision.
• · Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc.
• · Update systems to accurately reflect leave status and ensure appropriate diary documentation exists
• · Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures
• · The position is expected to do absence management and adjudication on Federal, State and company leaves.
• · Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physician’s office