Job Description

Client Support Specialists or ADA Consultant partner with the employee and employer to gather and communicate the facts about the accommodation need/request, substantiate the medical need for an accommodation, evaluate accommodation options/costs (including alternative options), & manage documentation and supporting material. Job Responsibilities Administer ADA (Americans with Disability Act) standalone claims Adhere to federal and state regulatory and/or company plan requirements and established ADA workflow procedures Communicate with caller regarding ADA claims and other leaves Ensure compliant review of eligibility and issuance of rights package Ensure prompt review of new ADA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision. Ensure timely leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, claim closure etc. Update/Assist CS to update systems to accurately reflect leave status and ensure appropriate diary documentation exists Performs other related duties as assigned or required Essential Functions: Coaches, coordinates, and develops ADA Claims Specialists Acts as resources for claim-related and technical issues Monitors case managers' work queues to ensure claims team is meeting expectations and applicable performance guarantees Conducts exceeds authority reviews daily, weekly quality audits; resolves escalated phone calls Analyzes trending opportunities to provide ongoing trainings Provides real time coaching to Claims Specialists Provides feedback to Unit Leaders on individuals' and overall team performance Daily and weekly reporting to ensure compliance measures are met Performs other related duties as assigned or required Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Ensure that the assigned targets are met in accordance with SLA, compliance and Internal standards