14 days old

LOA Claims Specialist I

Allina Health
Minneapolis, MN 55415

Requisition #

57679BR

Physical Location

Minneapolis, Minnesota

Posted Date

03-Sep-2019

Schedule Type

Full-Time

Dept. Name

HRSC - Leave of Absence

Hours Per Week

40

Contract

Noncontract

Introduction

Allina Health is dedicated to the prevention and treatment of illness and enhancing the greater health of individuals, families and communities throughout Minnesota and western Wisconsin. A not-for-profit health care system, Allina Health cares for patients from beginning to end-of-life through its 90+ clinics, 12 hospitals, 16 pharmacies, specialty care centers and specialty medical services that provide home care, senior transitions, hospice care, home oxygen and medical equipment, and emergency medical transportation services. Allina Health is a vibrant, growing organization with opportunities to suit your professional skills and a diverse work environment to match your specific interests. We believe employees are our greatest asset and are dedicated to helping you develop and maximize your professional skills.

The Commons, located in Minneapolis, is the headquarters of Allina Health, a not-for-profit health care organization serving patients and communities. Approximately 1,600 corporate and administrative service employees work at offices within Midtown Exchange, the site of the historic Sears retail complex at Chicago Avenue and E. Lake Street. This community landmark, adjacent to the campus of Abbott Northwestern Hospital, part of Allina Health, is the second largest building in Minnesota and includes offices, an internationally themed public market and residential units.

 

Responsibilities

Req ID: 57679
  • Acts as the primary first point of contact for Leave of Absence In-Take, general Leave of Absence questions
  • Serve as the subject matter expert for the Leave/STD programs in alignment and under the general directions of HR policies and the legal department.
  • Interpret and administer leave programs and policies in accordance with the applicable federal and state leave laws. (FMLA, ADA, USERRA etc.), determine FMLA eligibility, generate all necessary correspondence, and review FMLA/STD medical documentation, request clarification where necessary. Determine whether or not leave is FMLA - qualifying, in compliance with state and federal regulations.
  • Establishes FMLA/STD claims; approve and/or deny Leave/STD claims based on relevant medical documentation, track and code documentation in accordance with internal workflow processes. Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the organization.
  • Communicates decisions and on-going expectations with Employees, Manager and Human Resources. Communicate as necessary with employees, supervisors, and departments to keep employees informed and up to date through FMLA leave application process, period of FMLA leave, and return to work.
  • Counsel employees and supervisors about FMLA rights and responsibilities while maintaining appropriate confidentiality of employee medical information.
  • Track and maintain accurate records for all individual FMLA leave claims, documents, and determinations.
  • Interface with Worker's Compensation to ensure that Worker's Compensation claimants are apprised of FMLA and ADA rights and obligations per law and company policy.
  • Performs complex research using PeopleSoft, ServiceNow, knowledge base, event management system, Kronos Automated Time Collection system, Authoria, and Microsoft based PC application (Excel, Access, Works) to perform job functions. Create and utilize queries in both PeopleSoft and vendor maintained applications. Communicates outcome in a timely fashion. Responds to inquiries from disability carriers regarding any information needed for claim processing
  • Review and assess current FMLA/STD leave practices and propose revisions to improve overall accuracy, consistency, efficiency, and communication.

Education

Minimum High School or Equivalent
BA Preferred

Qualification/Skills

  • 3+ years HR experience in any of the following: Health and Welfare Benefits, payroll or Leave of Absence.
  • 5+ years of Customer service required/capable telephone skills
  • Ability to work independently
  • Ability to navigate a computerized system

Work Schedule

Monday - Friday, 8:00 a.m. - 4:30 p.m.

Location/Community Information

Minneapolis boasts being both cosmopolitan yet small enough that you can find a place to call home whether on a lake, golf course, or in an adjoining suburb. With the fast pace of activity there are professional sports, theater, or enough parks for a quiet walk. The area has numerous schools and colleges, both public or private, and enough teams for all weekend athletes to join.

  • Located in Minneapolis
  • Population = 380,000
  • Service Area = 2,882,245

Community Resource Links:

Community Information School Digger

Explore Minnesota MN Dept of Education

Minneapolis St. Paul MagazineSt. Paul Pioneer Press

Twin Cities Living MagazineStar Tribune


Closing

If you are interested in becoming part of our award winning team of professionals, please apply online today. Allina Health is committed to providing Equal Employment Opportunities to all employees and applicants. EO M/F/Disability/Vet Employer.


Requisition #

57679BR
Human Resources

Categories

Posted: 2019-09-04 Expires: 2019-10-04

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LOA Claims Specialist I

Allina Health
Minneapolis, MN 55415

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