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Vensure Employer Solutions, the largest privately held HR technology and services organization, is seeking a Leave of Absence Specialist to manage complex employee leave cases across multiple states. The role requires deep expertise in FMLA and state-mandated leave compliance, with responsibility for end-to-end case management, eligibility determination, certification review, and return-to-work coordination.
Key responsibilities include:
- Coordinate leave of absence case management across multiple states, ensuring compliance with federal and state leave laws
- Administer FMLA and state-mandated leave programs, including eligibility determination, certification review, usage tracking, and return-to-work coordination
- Determine leave eligibility and appropriate leave types based on federal, state, and employer policies within required timelines
- Issue and track all required leave communications, including notices, medical certifications, and letters throughout the leave lifecycle
- Review medical certifications for completeness and compliance within statutory timeframes
- Maintain accurate and confidential leave records in the LOA Module, including documentation and case notes
- Partner with HR, Benefits, Payroll, and Workers' Compensation teams to align leave status, benefits continuation, work restrictions, and return-to-work requirements
- Provide clear, empathetic guidance to employees and managers regarding leave policies and procedures
- Respond to employee, manager, and HR inquiries via phone, email, and in-person with professionalism
- Monitor leave usage to ensure employees do not exceed allotted entitlements
- Conduct follow-up regarding documentation, leave status changes, benefits impacts, and return-to-work steps
- Review and escalate leave issues, including potential fraudulent activity or policy misuse
- Meet departmental productivity standards, KPIs, and SOP requirements in a high-volume environment
- Support continuous process improvement efforts and operational initiatives
- Partner with state leave agencies to obtain claim status and required information
- Enter, update, and maintain leave cases in the LOA Module in Client Space and Prism
- Regular on-site attendance is essential due to secure system access requirements, collaboration on sensitive matters, and operational meeting participation
The role requires strong ethical judgment, exceptional communication skills, advanced organizational abilities, and proven expertise in managing complex leave cases under regulatory deadlines. The position involves high-volume workloads with competing deadlines in a professional office environment with extended screen time and in-person collaboration.
Requirements:
- Bachelor's Degree in Human Resources, Business Administration, or related field, or equivalent combination of experience, skills, and education (including non-traditional degree programs or job training programs)
- 3–5 years of experience in Leave of Absence administration or related fields (HR/LOA Management, Disability or Medical Administration, Benefits, Payroll, or Workers' Compensation, Healthcare or Medical Billing)
- Demonstrated expertise in administering leave of absence programs in compliance with federal, state, and multi-state employment laws and regulations, including FMLA and state-mandated leave programs
- In-depth working knowledge of federal and state labor and employment enforcement agencies and regulatory standards impacting leave administration
- Strong working knowledge of multiple HR disciplines, including employee relations, benefits administration, compensation, payroll impacts, and performance management
- Exceptional verbal and written communication skills with ability to effectively influence and advise across organizational levels
- Ability to exercise sound judgment and apply logic and reasoning to make timely, defensible decisions under pressure and within strict regulatory deadlines
- Proven ability to manage complex and escalated leave cases with compliant recommendations
- Strong ethical judgment and ability to handle highly confidential and sensitive employee information
- Advanced organizational and time-management skills with ability to prioritize high-volume work amid competing demands
- Demonstrated proficiency in root cause analysis, data research, and problem resolution
- Strong business acumen balancing compliance requirements with operational and employee experience considerations
- Ability to consistently meet or exceed KPIs and adhere to SOPs while maintaining high quality and accuracy
- Proven collaboration and consultation skills with HR, Benefits, Payroll, and leadership
- Experience in Microsoft Office software (Outlook, Teams, Excel, PowerPoint) and demonstrated ability to learn other applications
- Prism experience preferred
- Bilingual (English/Spanish) preferred
