Leave of Absence Representative

Posted Yesterday
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Orlando, FL, USA
In-Office
Junior
Insurance
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.
The Role
Analyzes FMLA and paid leave claims, determines eligibility and benefits under client plans and state and federal regulations, calculates payments and adjustments, tracks documentation, establishes action plans, makes timely case decisions, and communicates outcomes with claimants and clients.
Summary Generated by Built In

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Leave of Absence Representative

PRIMARY PURPOSE:  To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
  • Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or adjustments in compliance with client paid leave plans, policies, and state and federal regulations.
  • Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client.
  • Communicates decisions and on-going expectations with claimants and clients.
  • Maintains professional client relationships.
  • Attendance during scheduled work hours is required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.  College degree and/or college courses preferred.

Experience
Two (2) years disability management and/or FMLA administration experience or equivalent combination of education and experience required.  Human Resources experience including FMLA administration preferred.

Skills & Knowledge

  • Knowledge of state and federal FMLA regulations
  • Knowledge of medical disability management
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:  Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:  Computer keyboarding, travel as required

Auditory/Visual:  Hearing, vision and talking

NOTE:  Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description   They are not intended to constitute a comprehensive list of functions, duties, or local variances.  Management

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Skills Required

  • High school diploma or GED
  • Two years of disability management and/or FMLA administration experience, or equivalent combination of education and experience
  • Knowledge of state and federal FMLA regulations
  • Knowledge of medical disability management
  • Excellent oral and written communication skills
  • Analytical and interpretive skills
  • Strong organizational skills
  • Ability to work in a team environment
  • College degree and/or college coursework
  • Human Resources experience including FMLA administration

Sedgwick Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sedgwick and has not been reviewed or approved by Sedgwick.

  • Leave & Time Off Breadth — Generous paid time off and paid holidays are emphasized, with PTO accruals increasing with tenure. Paid parental leave and caregiver support further expand time-off coverage.
  • Healthcare Strength — Medical, dental and vision coverage is complemented by telemedicine and a personal health concierge. Wellbeing supports such as diabetes and weight-management programs, fertility services, and robust mental-health access (coaching, therapy, psychiatry) broaden care.
  • Parental & Family Support — Paid parental leave and caregiver support are offered alongside family-forming resources. Fertility services and adoption assistance reinforce family-oriented benefits.

Sedgwick Insights

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The Company
HQ: Memphis, TN
31,000 Employees
Year Founded: 1969

What We Do

From our modest beginnings as a regional claims administrator, Sedgwick has grown into a leading global provider of technology-enabled risk, benefits and integrated business solutions with 31,000+ colleagues, located across 80 countries. Through innovative product development, organic business development and strategic acquisitions, Sedgwick’s offerings continue to evolve beyond claims processing to meet the current and future needs of our clients. Our approach to delivering quality service in areas such as workers’ compensation, liability, property, disability and absence management goes far beyond just managing claims—we aim to simplify the process and reduce complexity, making it easy and effective for everyone involve.

Why Work With Us

We stay tuned into what our colleagues want and need and deliver a world-class colleague experience that demonstrates how much we value their unique contributions to our business. You’ll see and feel what it’s like to work for a company that’s committed to doing the right thing – for those we serve, for our planet and for each other.

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