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Leave Specialist
Leave SpecialistCFS • Valhalla, NY, US
Leave Specialist

Leave Specialist

CFS • Valhalla, NY, US
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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 :

  • Develop, generate, and present comprehensive reports analyzing leave data, trends, and patterns
  • Create and manage dashboard reports for management review and strategic decision-making
  • Provide analytical support and insights for Metrics & Performance monitoring
  • Deliver actionable, data-driven recommendations to support workforce planning and operational excellence

    • Additional Duties :

  • Lead special projects to enhance leave management processes and systems
  • Perform other duties as assigned or required

    • Qualifications & Requirements

    Experience :

  • Minimum 4 years of extensive administrative experience providing comprehensive support in a healthcare or complex organizational environment
  • Demonstrated expertise in compiling and analyzing large volumes of complex information
  • Proven ability to streamline processes and optimize workflows to maximize productivity
  • Experience managing leave of absence programs, workers' compensation claims, or related benefits administration strongly preferred
  • Knowledge of FMLA, ADA, state disability laws, and workers' compensation regulations highly desirable
  • Exceptional written and verbal communication skills with ability to explain complex regulatory requirements to diverse audiences
  • Advanced proficiency in HRIS systems (ADP preferred), Microsoft Office Suite (Excel, Access, Word, PowerPoint, Outlook)
  • Proven ability to prioritize and manage multiple complex assignments in high-volume, fast-paced environment while meeting deadlines
  • Natural leadership abilities with talent for training, mentoring, and developing team members
  • Thorough understanding of federal and state leave laws and workers' compensation regulations
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    Leave Specialist • Valhalla, NY, US