Absence and Disability Management Specialist

TELUS; Dunwoody (GA); On-site; USD 70,000 - 100,000; Full time

Job summary

TELUS Health is seeking a Specialist of Absence and Disability Management in the US to lead the ADA interactive process and manage FMLA/Leaves and STD claims. The role emphasizes compliant claim handling, assessment, and coordination with HR and supervisors to support employees returning to work.

Ideal candidates bring 5+ years in US Leaves and Disability case management, ADA experience, strong communication, and problem-solving skills.

Qualifications

• 5 years of experience in US Leaves and Disability Case Management with knowledge of applicable legislation.
• 3 years of ADA case management experience.
• Associate’s Degree.
• Strong interpersonal and helping skills with superior assessment and problem solving abilities.
• Excellent computer skills and ability to work online in a paperless environment.
• Bilingual in English and Spanish would be an asset.
• Registered professional status in disability management or health sector would be an asset.
• Additional coursework in Occupational Health, Rehabilitation, Disability legislation, Mediation, HR would be an asset.

Responsibilities

• Manage accommodation claims and advise on ADA options.
• Process FMLA and other leaves (military, state, company-specific) and STD claims.
• Manage DOL category claims, recertifications, and second/third opinions.
• Conduct case assessments with employee, manager, and HR to gather information.
• Develop understanding of return-to-work factors and plan.
• Review information and consult LifeWorks resources to decide on approvals/denials.
• Ensure regulatory compliance in FMLA medical certifications.
• Coordinate RTW planning and support with employee and supervisor.
• Attend department meetings and trainings; perform other tasks as assigned.

Skills

Leaves & Disability experience

ADA case management

Interpersonal skills

Assessment skills

Problem solving

Computer skills

Professional status asset

Occupational Health coursework

Bilingual English/Spanish asset

Education

Associate degree

Job description

TELUS Health is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – TELUS Health is improving health outcomes for consumers, patients, healthcare professionals, employers and employees. Join our team and what we'll accomplish together

The primary responsibility of the Specialist of Absence and Disability Management is to facilitate and administer the Americans with Disabilities Act (ADA) interactive process and advise clients on reasonable accommodations. The Specialist also manages FML / Leaves and STD claims as needed.

What You’ll Do

• Manage all accommodation claims by advising clients on options for reasonable accommodation and making recommendations regarding the best approach for managing such claims as it relates to the ADA interactive process.
• Manage and process FMLA (and other Federal leaves as applicable) Military leaves, State leaves, company specific and STD claims.
• Manage all DOL category claims with regards t; including re-certifications and the 2nd and 3rd opinion processes.
• Conduct case assessments, contacting the employee and their manager / HR by telephone or email, to explain the leave management process, employee accountabilities, and gather information for assessment purposes.
• Develop and document an understanding of the situation and the factors supporting, as well as inhibiting, a successful return to work for the employee.
• Review all relevant information and consult with appropriate LifeWorks resources as required (nurse consultants, health professionals, supervisory team) to confirm decision (approved / denied) recommendation on FMLA, State, Company specific leaves, STD and ADA cases.
• Analyze FMLA medical certifications and other medical documentation and ensures claim determination adheres to the required regulatory compliance timeframes.
• Inform STD claimants of any documentation needed to process a claim, timeframe requirements, claim’s status (e.g. STD approvals, denials, and consults), or any other information necessary to manage a claim.
• Determine an appropriate RTW goal with the employee and the employer; as well as, provide active support for the return-to work planning process between the employee and their supervisor and intervene when necessary.
• Communicate proactively with the client representatives regarding any case management issues that may impact the workplace and RTW planning.
• Follow all processes as laid out in the Standard Operating Procedures (SOPs), and/or as detailed in trainings/meetings.
• Attend Case Management and Disability Management department team meetings and trainings as required.
• Other projects and tasks as assigned

What You Bring

• 5 years of comprehensive experience in US Leaves and Disability Case Management and knowledge of the various legislative requirements.
• 3 years of ADA case management experience
• Associate’s Degree.
• Strong interpersonal and helping skills along with superior assessment and problem solving skills.
• Excellent computer skills and the ability to work primarily online in a paperless environment.
• Registered professional status within the disability management or professional health sector would be an asset.
• Additional course work in Occupational Health, Rehabilitation, Legislation related to disability management, Mediation, Human Resource Management, Disability Insurance, Psychological and Workplace factors in disability would be an asset.
• Bilingual in English and Spanish would be an asset

A bit about us

We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve complex problems and create remarkable human outcomes in a digital world.

TELUS Health is an Equal Opportunity Employer that aims to foster an inclusive culture that embraces diversity. It is our policy to hire without regard to race, color, creed, religion, national origin, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status. We offer accommodation for applicants with disabilities, as required, during the recruitment process. By applying to this role, you understand and agree that your information will be shared with the TELUS Group of Companies’ Talent Acquisition team(s) and/or any leader(s) who will be part of the selection process.

Talented people who care

Coming to work each day is an opportunity. It’s a chance for you to work with a multidisciplinary global team of nearly 10,000 smart and driven members whose passion for their work matches your own, resulting in helping create a healthier future for everyone.

Work that matters

Make a difference in the lives of our clients and their employees every day – by providing meaningful solutions in more than 160 countries, that help people and businesses perform at their best by delivering both digital innovation and clinical services to improve total physical, mental and financial health and wellbeing across the full spectrum of primary and preventative care.