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Serve as primary strategic advisor for assigned middle-market clients on benefits, leaves, ADA, and claims. Build relationships, lead renewals and upsell, coordinate cross-functional teams to resolve escalations, drive revenue growth, ensure contract compliance, mentor colleagues, and manage complex projects with advanced analytics and operational excellence.

The Absence Management Specialist manages claims between clients, employees, and healthcare providers while ensuring compliance with regulations and quality customer service.

Supervise and coach the LOA Systems team; plan and prioritize projects; ensure data integrity and efficient operation of Matrix leave systems. Manage client implementations and configurations, troubleshoot work orders, liaise with Sedgwick, test system enhancements, and develop training and rollout materials while adhering to FMLA and state leave laws.

This role involves adjudicating LTD claims, conducting investigations, calculating benefits, and managing claims while providing customer service in a high-pressure environment.

Manage confidential accommodation requests by reviewing medical documentation, conducting interactive assessments with employees and supervisors, and identifying reasonable accommodations under ADAAA, PWFA, state law, and client policies. Serve as primary contact for employees with disabilities, coordinate with medical vendors, document cases, educate HR and staff on return-to-work and accommodation processes, and maintain HIPAA-compliant records while collaborating on continuous improvement.

Serve as primary contact for a portfolio of middle market group insurance clients, managing renewals, compliance, claims reporting, upsell opportunities, cross-functional issue resolution, and operational excellence across disability, life, FML, state/company leaves, and ADA matters.

The Claims Examiner I processes short-term disability and paid family leave claims, ensuring compliance with state laws while managing claim investigations and customer communication.