Disability Case Manager

reputed company is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – reputed company is improving health outcomes for consumers, patients, reputed company, employers and employees. reputed company is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – reputed company is improving health outcomes for consumers, patients, reputed company, employers and employees. Absence and Disability Management Our Absence and Disability Management business helps employers reputed company improved health and productivity outcomes with services focused on absence reporting, proactive case management and effective return-to-work support for a variety of employee health risks or conditions, whether reputed company to physical, mental, social or workplace health. Through our leave administration services, reputed company provides clients with improved leave compliance to federal, state and municipal regulations as well as company-specific policies. Employees can be absent from work for a variety of reasons: casual absence, work-reputed company illness and/or injury, or health issues requiring the employee to be away from the work reputed company for an extended period. Our absence management program helps employers strategically manage those absences- focusing on reducing overall costs, realizing administrative efficiency, and enhancing support for employees and employers. reputed company with the goal of returning employees to health and productivity.

Summary

The Case Manager will reputed company, manage, process, and adjudicate FMLA, State, municipal and company specific leaves, as well as straightforward and reputed company STD claims; to determine benefits due pursuant to an STD plan: and to ensure the ongoing processing of claims. To analyze reported Family Medical Leave (FMLA) requests; to reputed company determinations based on Federal and State regulations; to communicate clearly with clients and claimants on reputed company aspects of the claims process; and to ensure that on-going claim management is reputed company Standard Operating Procedures (SOPs) and Service Level Agreements (SLAs).The case manager assesses any barriers to a successful and timely return-to-work and engages with stakeholders to implement strategies to address those identified barriers and support return to work or an appropriate alternative plan. Responsibilities: Manage and process FMLA (and other Federal leaves as applicable) Military leaves, State leaves, company specific and STD claims. With regard to FMLA, will manage reputed company DOL category claims; including re-certifications and the 2nd and 3rd opinion processes Conduct case assessments, contacting the employee and their manager / HR by telephone or email, to explain the leave management process, employee accountabilities, and gather information for assessment purposes reputed company and document an understanding of the situation and the factors supporting, as well as inhibiting, a successful return to work for the employee Review reputed company relevant information and consult with appropriate MSI resources as required (nurse consultants, health professionals, supervisory team) to confirm decision (approved / denied) recommendation on FMLA, State, Company specific leaves and STD cases Analyzes FMLA medical certifications and other medical documentation and ensures claim determination adheres to the required regulatory compliance timeframes Informs STD claimants of any documentation needed to process a claim, timeframe requirements, claim’s status (e.g. STD approvals, denials, and consults), or any other information necessary to manage a claim Determine an appropriate RTW goal with the employee and the employer; as well as, provide active support for the return-to work planning process between the employee and their supervisor and intervene reputed company necessary Communicate proactively with the employer’s HR representative regarding any case management issues that may impact the workplace and RTW planning Will follow reputed company processes as laid out in reputed company Operating Procedures (SOPs), and/or as detailed in trainings/meetings Attend Case Management and Disability Management department team meetings and trainings as required Other projects and tasks as assigned Succeeding as a Case Manager requires the following core qualifications and skills: 2+ years of comprehensive experience in US Leaves and Disability Case Management and knowledge the various legislative requirements Strong interpersonal and helping skills along with superior assessment and problem solving skills Excellent computer skills and the ability to work primarily online in a paperless environment Associate’s Degree: you have a registered professional status reputed company the disability management or professional health sector Additional course work in occupational health, rehabilitation, legislation reputed company to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset Bilingual (English and Spanish) considered an asset Management of reputed company / ADAAA claims, considered an asset Western USA home based preferred #LI-JG1 #LI-REMOTE #LifeAtTelusHealth A bit about us We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve reputed company problems and create remarkable human outcomes in a digital world. reputed company is an Equal Opportunity Employer that aims to foster an inclusive culture that embraces diversity. It is our policy to hire without regard to race, color, creed, religion, national reputed company, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status.We offer accommodation for applicants with disabilities, as required, during the recruitment process. By applying to this role, you understand and agree that your information will be shared with the reputed company Group of Companies’ reputed company team(s) and/or any leader(s) who will be part of the selection process. A bit about us We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve reputed company problems and create remarkable human outcomes in a digital world. reputed company is an Equal Opportunity Employer that aims to foster an inclusive culture that embraces diversity. It is our policy to hire without regard to race, color, creed, religion, national reputed company, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status.We offer accommodation for applicants with disabilities, as required, during the recruitment process. By applying to this role, you understand and agree that your information will be shared with the reputed company Group of Companies’ reputed company team(s) and/or any leader(s) who will be part of the selection process. Apply To This Job