drjobs Leave Specialist

Leave Specialist

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1 Vacancy
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Job Location drjobs

Framingham, MA - USA

Monthly Salary drjobs

$ 55000 - 60000

Vacancy

1 Vacancy

Job Description

Overview

$55000- 60000

The Leave Specialist under the general supervision of the Director of Benefits is a key member of the Benefits Team and is responsible for managing employee leave claims including FMLA state Paid Family Leave (PFL) ADA and other leave programs. This role ensures compliance with applicable laws and internal policies while providing compassionate and efficient support to employees throughout the leave process.

This is a hybrid position requiring 2-3 in-office days per week. Monday through Friday 9am-5pm.

Minimum Education Required

High School Diploma/GED

Responsibilities

  1. Assist employees with leave of absence claims process.
  2. Review and investigate leave claims through phone and written communication with employees supervisors healthcare providers and other stakeholders.
  3. Adjudicate claims in accordance with federal state and local regulations as well as company policies and procedures.
  4. Utilize medical vocational and other resources to assess claims and escalate as needed based on risk level.
  5. Maintain accurate and up-to-date electronic claim records.
  6. Communicate claim decisions and updates clearly and promptly to all relevant parties.
  7. Coordinate return-to-work plans and accommodations in collaboration with healthcare providers employees managers and HR Business Partners.
  8. Ensure timely and appropriate notifications based on claimant and employer communication preferences.
  9. Adapt to organizational and industry changes participating in training and development opportunities.
  10. Assist in the development and continuous improvement of leave-related policies procedures and training materials.
  11. Generate reports and metrics related to leave trends usage and compliance.
  12. Support audits and ensure documentation is complete and compliant.
  13. Adhere to all principles related to the Advocates Way.
  14. Perform all duties in accordance with agency policies and procedures.

Qualifications

  1. High school diploma or equivalent required; Associates or Bachelors degree preferred.
  2. Minimum 1 year of experience handling FMLA and/or PFL claims.
  3. Strong understanding of FMLA PFL ADA and related leave regulations.
  4. Excellent verbal and written communication skills.
  5. Strong analytical problem-solving and decision-making abilities.
  6. Proficient in Microsoft Office (Word Excel Outlook) and comfortable navigating HRIS or leave platform sites.
  7. Ability to manage multiple tasks prioritize effectively and work independently or collaboratively.
  8. High level of professionalism discretion and customer service orientation.
  9. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.
  10. Must be able to perform each essential duty satisfactorily.

Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions including race ethnicity sex gender identity gender expression sexual orientation partnered status age national origin socioeconomic status religion ability culture and experience.


Required Experience:

Unclear Seniority

Employment Type

Full-Time

Company Industry

About Company

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