Disability Case Manager
Core
Oversee, manage, process, and adjudicate FMLA, State, municipal, and company-specific leaves, as well as straightforward and complex STD claims to determine benefits due and ensure ongoing claim processing.
Role type
Disability Case Manager
Builds
Leave administration services and return-to-work support for employers
Domain
US healthcare and disability management
Deliverable
client delivery
Required skills
US leaves and disability case management, FMLA adjudication, STD claims processing, regulatory compliance analysis, case assessment, return-to-work planning, stakeholder communication
Preferred skills
Occupational health knowledge, rehabilitation expertise, mediation skills, ADA/ADAAA claims management, bilingual English and Spanish
Technologies
Paperless digital case management systems
Responsibilities
Manage and process FMLA, Military, State, and STD claims; conduct case assessments via phone/email; analyze medical certifications for regulatory compliance; consult with nurse consultants and health professionals; determine return-to-work goals; communicate with employer HR and claimants; follow Standard Operating Procedures
Seniority
Mid-level, hands-on IC
