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Southern Company · 1 day ago

Disability Leave Management Consultant (FMLA)

Atlanta, GA

Full-time

Hybrid

Mid Level

3+ years exp

Southern Company is a leading energy provider serving 9 million customers across the Southeast and beyond. The Disability Leave Management Consultant (FMLA) will analyze and oversee employee leave benefits, ensuring compliance and collaboration with various stakeholders to support timely returns to work. This role requires expertise in sick pay, FMLA, and short-term disability case management.

EnergyNatural ResourcesNuclear

Growth Opportunities

Responsibilities

Collaborate with the Leave management center vendor for FMLA and Short-Term Disability leaves

Oversight to employees' eligibility and benefit levels for FMLA, sick pay, and short-term disability cases

Serve as a liaison between the Leave vendor, Southern Company DM Medical Services teams, and line-management

Support reporting of short-term disability cases to the long-term disability insurer within specified time frames

Maintain reporting standards and present case reviews to the Disability Management Medical Services groups

Act as a subject matter expert in all areas of sick pay, FMLA, and short-term disability

Work with LTD Carrier and company DM Medical Services groups to prepare comprehensive evaluations for long-term cases

Assist as needed to coordinate leave claims management and return-to-work efforts with the Leave management vendor

Participate as needed in reviews of pending claims and return-to-work strategies with Human Resources, Legal, relevant management employees, and the Leave management center vendor

Partner with the company Disability Management (DM) Medical Services groups

Track loss experience and identify trends and underlying issues related to leave management

Evaluate and recommend Best Practice service standards

Regularly review the integrated leave management vendors’ efforts to ensure efficiency, cost-effectiveness, and compliance with contracts

As needed, demonstrate strong command of all disability issues and serve as a subject matter expert on all areas of leave management

Provide training and support to timekeepers and other relevant staff on leave record management

Ensure compliance with company policies and legal requirements related to leave management, workers compensation claims, and FMLA Claims

Serve as the primary liaison for inquiries and issues related to the leave management center and workers’ compensation claims within the commercially insured programs of Southern Company subsidiaries

Oversee, audit, and correct discrepancies on leave of absence records, including FMLA, sick leave, occupational injury, and other types of leave

Communicate with external vendors (e.g., Sedgwick, Everest National Ins. Co., etc.) to resolve discrepancies and ensure records are up to date

Coordinate and document employer processes for handling commercially insured workers’ compensation claims

Obtain documentation requested by external adjuster(s) for state and federal workers’ compensation form filings

Collaborate with nurse case manager(s) and management on return-to-work for commercially insured workers’ compensation claims

Collaborate with Southern Company Risk Management on contractual agreements and expectations with commercially insured insurance carrier and TPA

Poster coordinator for state/federal workers compensation, leave, and other disability compliance laws in multiple states

Maintain confidentiality and manage sensitive information with discretion

Qualification

FMLA managementShort-Term Disability claimsWorkers' compensationClaims management experienceOracleHRISAnalytical thinkingMicrosoft ExcelMicrosoft WordMicrosoft PowerPointInterpersonal skillsProblem-solving skillsProject management

Required

At least 3 years of experience in claims management, focusing on FMLA, workers compensation, and Short-Term Disability claims required

Strong knowledge in handling cases from simple to complex / catastrophic

Demonstrated analytical thinking in complex situations and recognition of multiple connections to reach appropriate case decisions

Excellent interpersonal, oral, and written communication skills

Strong ability to strategize, prioritize, and negotiate; demonstrate confident decisiveness and sound judgment

Customer-focused and approachable, with a high level of comfort dealing with all levels of management

Problem-solving skills and ability to make timely decisions

Team-oriented and able to work effectively in a teamwork environment

Goal-oriented and accountable for work product

Capable of managing complex claims from inception through trial when necessary

Dedicated to maintaining quality and excellence by consistently complying with Best Practices service standards

Willing to pursue ongoing education to stay informed about the latest industry developments, statutory laws, and trends

Critical thinker and effective problem solver, skilled at identifying issues, securing relevant information, critically evaluating situations, and presenting sound factual reports

Ability to analyze complex issues, identify trends, and recommend simple, relevant solutions

Confident and skilled to work independently as well as in a team environment

Flexible and adaptable, able to learn new plans, vendors, and systems quickly

Demonstrates effective project management skills, able to multitask seamlessly

Exhibits exceptional customer service focused on speed, accuracy, and ownership

Demonstrates effective communication and presentation skills

Experience developing strong, successful working relationships to drive efficiency and effectiveness

Demonstrates behaviors consistent with the Southern Company culture: Unquestionable Trust, Superior Performance, and Total Commitment

Proficient with Microsoft Excel, Word, and PowerPoint

Occasional travel may be required, and the applicant must be able to work flexible hours to accommodate different time zones, if necessary