Team Leader - Operations

Job Overview

This role involves managing administration and adjudication of ADA (Americans with Disabilities Act) claims along with handling absence management tasks related to Federal, State, and company leave policies. The Team Leader ensures compliance by completing eligibility decisions, claim reviews, and supporting communication processes.

Key Responsibilities

• Manage standalone ADA claims administration effectively.
• Make eligibility determinations and review claim entitlements by obtaining necessary information from employees, healthcare providers, or employers through calls, emails, faxes, or relevant systems.
• Quickly assess new ADA claims, compare them with applicable leave plans, and reach initial claim decisions promptly.
• Handle leave administration duties including health condition recertifications, tracking of intermittent claims, confirming return-to-work status, and returning correspondence.
• Maintain accurate system entries reflecting leave status and ensure diary notes/documentation are up to date.
• Meet recommended business turnaround time of up to 5 business days to adhere to compliance standards.
• Oversee absence management and adjudication related to Federal, State, and company-mandated leaves.

Additional Information

The position requires efficient multitasking across different leave programs while ensuring timely and accurate processing of claims and leave statuses.