POSITION: Case Management Clerk II

ORGANIZATION / LOCATION: Payroll Services

REPORTS TO: Supervisor, Payroll & Benefits Case Management

REVISION / REVIEW DATE: August 23, 2017

JOB CODE: 43

UNION: Local2250

CLASSIFICATION: ACE/AFSCME

GRADE: 17

POSITION SUMMARY:The Case Management Clerk II provides case management and complex clerical services to support appropriate and effective reviews, assignments, recordings, and responses to the school system’s Absence Management and Benefits Program in accordance with state and federal regulations, school system’s policies and procedures, and collective bargaining agreements. This work is performed under general supervision.  

DUTIES AND RESPONSIBILITIES

Analyzes all non-work related Leave of Absence (LOA), Family Medical Leave Act (FMLA), and Long-Term Disability (LTD) requests, as well as Sick Leave Bank (SLB) grants;

Provides information and documentation to employees, supervisors, outside agencies, and other personnel in accordance with the established department policies and procedures, and state and federal regulations;

Performs mathematic computations, determines FMLA and LOA eligibility, and reviews, categorizes, and codes all incoming extended LOA requests;

Reviews and interprets medical documentations for accuracy and completeness, and obtains and/or clarifies additional medical documentation submitted by healthcare providers;

Verifies and processes SLB grants, and prepares adjustment documents in accordance with established department guidelines;

Researches and monitors leaves and absences, and prepares related correspondences;

Facilitates return to work processes, including referrals to the Transition to Work (TTW) and the Americans with Disability Act (ADA) programs;

Reviews extended leave requests and usage to mitigate fraud and abuse, posts data to records, logs information, and provides supporting documentation to the Employee and Labor Relations Office (ELRO) for suspected leave fraud and abuse;

Prepares insurance invoices for employees on unpaid leave and assists employees in managing out-of-pocket benefit premiums;

Provides training to employees on absence management and leaves of absence policies; and

Performs other duties as assigned.

QUALIFICATIONS

Thorough knowledge of FMLA regulations, State of Maryland leave laws, and contractual agreements related to LOA and SLB;

Demonstrated proficiency in Oracle Human Resources Management System (HRMS) or ability to acquire proficiency within six months of employment;

Proficient in Microsoft Office Suite (Excel, Power Point, Word, etc.), Google documents, and e-mails;

Knowledge of medical terminology and FMLA hour computation;

Ability to collect, analyze, categorize, and interpret leave documents and records;

Ability to establish and maintain effective working relationships within a multidisciplinary team environment with internal and external customers;

Ability to work under pressure, multi-task, and meet deadlines, while shifting priorities and coping with the ambiguity of a fast-paced environment;

Ability to provide excellent customer service, while maintaining confidentiality and privacy of information.

EDUCATION and/or EXPERIENCE REQUIREMENTS:   Completion of high school diploma required; Associates Degree preferred. Minimum of six (6) months of absence/leave management work experience within the local, state, or federal government or private sector preferred.  Completed coursework resulting in proficiency in Microsoft Office Suite, Oracle HRMS, and other leave related training is a plus.  

CERTIFICATION REQUIREMENTS: None Required.

SUPERVISORY RESPONSIBILITIES: No direct supervisory responsibilities.

PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, talk, hear, walk, sit, and use fingers, tools or controls. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision such as to read handwritten or typed material, the ability to adjust focus, and depth perception. While performing the duties of this job, the employee may occasionally push or lift up to 25 lbs.

WORKING ENVIRONMENT: Normal

ADDITIONAL INFORMATION: None.

Prince George’s County Public Schools • www.pgcps.org • 14201 School Lane, Upper Marlboro, MD 20772