Benefits Manager / Leave & Accommodation Programs

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025.

OVERVIEW:
The Benefits Manager for Leave & Accommodation Programs will oversee the organization’s workers’ compensation, leave‑of‑absence programs, and employee accommodation processes. This role is responsible for transforming related programs, procedures, and operational workflows to enhance employee productivity and experience while reducing organizational risk.The Benefits Manager will partner closely with HR Business Partners (HRBPs), Legal, and Payroll to ensure compliant, efficient, and employee‑focused leave and accommodation practices.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides internal oversight for the outsourced AFLAC FMLA program. Including but not limited to regular communication with AFLAC, using the AFLAC platform to answer questions, being a first line of defense with both AFLAC and the HRBP to resolve issues and problem solve
• Works closely with Legal and AFLAC to interpret and administer leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA, USERRA, Pregnancy Discrimination Act, etc.). Manages leaves relating to the workers’ compensation program with the Benefits Specialist who ensures it is managed in accordance with applicable OSHA and workers’ compensation laws
• Works closely with legal to approve and/or deny leave cases for the leave not managed by AFLAC based on relevant medical information ensuring full legal compliance. Coordinates and organizes all medical information and ensures that HIPAA and Employee Privacy guidelines are closely monitored and effectively executed working with AFLAC for the FMLA leaves and providing oversight and execution for the non-FMLA leaves

• Ensures compliance with federal and state regulations and works with legal in the development of firm policies surrounding leaves of absence
• Oversees leave paperwork for all non FMLA leave not handled by AFLAC according to company policy, as well as adhering to Dept. of Labor guidelines
• Works closely with AFLAC for the FMLA leaves and oversees the process that tracks all leaves and ensures information is sent and received in a timely manner
• Reviews Absentee/Leave Reports and partners accordingly with HRBP’s and benefits to determine if further action is required identifying relevant trends
• Ensures appropriate compliance with sending letters/documents to associates on a non-FMLA leave of absence and is maintained in appropriate filing system
• Manages all administrative aspects of leave to include tracking hours used/taken and works closely with the HR Service Center and Payroll
• Works closely with HRBPs and the legal department to provide updates and support on employee’s leave status
• Conducts Tier I investigations of alleged fraudulent activity of all leave cases and workers’ compensation claims. Works closely with the Benefit’s Manager, HRBP’s and legal team to identify, research and resolve matters
• Produces and manages reporting metrics and analytics for all leave cases
• Meets regularly with HRBPs to review claims’ status and develops strategies for resolution
• Serves as the resource for HR and Managers on the interpretation and application of worker's compensation policies, legislation, regulations, and processes, as well as on loss control procedures and related regulations; designs and implements training and orientation programs to disseminate this information to TeamHealth managers
• Oversees the Preparation of all necessary forms, records and documentation, to include statistical analyses and reports, for all claims assigned, as required by various regulatory agencies
• Oversees compliance of the various State Paid Family and Sick Leave programs

Job Requirements: