Leave Specialist

Leave Specialist

Location : Valhalla, NY

Salary Range : $65K - $75K

Exciting Opportunity : Leave Specialist

Join our rapidly growing healthcare client as they strengthen their Leave Specialist operations.

Job Summary

Under the direction of the Manager of Leave Management, the Lead Specialist provides expert-level administration of both Non-Occupational Leave and Workers' Compensation programs for the organization. This pivotal role combines hands-on claim management with operational oversight, ensuring departmental efficiency, compliance with state and federal regulations, and adherence to organizational standards.

Key Responsibilities

Leave Management & Claims Administration :

• Oversee comprehensive leave of absence claim management across the network, from initial intake through case closure
• Review and analyze medical documentation to support leave eligibility determinations for complex cases
• Apply leave eligibility guidelines to render accurate decisions, handling high-complexity cases requiring advanced judgment and expertise
• Serve as primary point of contact for injured employees throughout workers' compensation claims, acting as liaison between employees and adjusters
• Analyze and process workers' compensation claims by conducting thorough investigations and determining compensability
• Investigate claims to determine injured workers' entitlement to benefits; administer indemnity and medical benefits for valid claims
• Conduct detailed interviews with injured employees to obtain comprehensive injury descriptions
• Oversee integration of multiple leave types (workers' compensation with FMLA) and coordinate with benefits, payroll, and time management functions

Analytics & Reporting :

Additional Duties :

Qualifications & Requirements

Experience :