Job Description
At SDG&E, we are committed to the community we call home, delivering clean, safe and reliable energy to better the lives of the people we serve in San Diego and southern Orange counties. Our commitment means we are creating a sustainable future by providing almost 45 percent of its electricity from renewable sources; modernizing natural gas pipelines; accelerating the adoption of electric vehicles; supporting numerous non-profit partners; and, investing in innovative technologies to ensure safe and reliable operation of the region's infrastructure for generations to come.
Our highly trained and responsive employees with their diverse skills, talents and ideas are the reason we can deliver on our commitment and are building America's best energy company. They are also the reason why we have been recognized with the industry's most coveted awards. Our employees undertake challenging work, and receive highly competitive compensation and benefits. As one of the region's largest employers, we're always searching for talented and bright people to join our team. After all, it takes the best to build the best.
Primary resource for responding to questions/concerns from the Absence Leave Specialist. Responsible for editing standard letters, leave request forms and other program documents and training. Provide primary back up support to Lead Claims Advisor - ECS. Oversight in managing, tracking, and determining eligibility for all aspects of job-protected leaves including Family and Medical Leave Act (FMLA), California Family Rights Act (CFRA), Family Sick Leave (FSL) and Pregnancy Disability Leave (PDL). Determines if leave is to be authorized or denied based on statutory requirements and individual circumstances. Leave calculations include determining the employee's own intermittent leave, family leave, other complex leave issues and/or other types of job-protected leave. Act as primary resource to employees, supervisors, managers and other Employee Care Services (ECS) staff regarding the requirements and regulations of the above mentioned leaves in coordination with company benefits and internal leave policies. Ensure compliance with state and federal laws. Administer sickness, long term disability (LTD) and Total Disability Under The Pension Plan (TDI) claims.
Duties and Responsibilities
- Act as an information resource to clients and internal and external contacts for sickness, LTD and total disability under the pension plan. Ensure understanding of claims process, benefits integration and direct employees to resources that will aid in their return-to-work (RTW). Administer sickness, LTD, and TDI claims in compliance with all plan provisions, regulations and reporting requirements. Focus on cost effective delivery of benefits and resolution of cases. Review and approve benefits payable to employees. Review and monitor employee medical records to ensure scope and duration of treatment are appropriate based on the injury and diagnosis. Apply applicable offsets from Workers' Compensation benefits to sickness, LTD, and TDI under the pension plan. Advise employees of leave requirements. Coordinate RTW efforts with Supervisors and ECS staff. May be required to handle more complex and catastrophic sickness and LTD claims.
- Manage, validate and determine eligibility for leave. Determine and execute appropriate notification to the employee. Provide FMLA forms if qualified as requested by employee or employee's supervisor for employee's own illness or family illness. Review absence request for compliance with Federal/State regulations and company policy. Notify employee if leave is approved, denied or pending medical certification. If not approved, determine and provide appropriate notification required by regulations. Manage, validate, and determine qualification for Parental Leave program. Provide support to new mothers from initial outreach through and after their return to work. Process and track FMLA periods using timekeeping system and VOS Portal Claims System. Verify and provide direction to timekeepers for proper FMLA coding. Determine eligibility within requirements of leave law and company policy.
- Review medical information and determine if medical condition qualifies for job-protected leave. Determine appropriate steps to validate medical information with employee and employee's doctor in coordination with company medical consultant as needed. Request medical re-certification at appropriate intervals and track follow-up in VOS Portal Claims System. Coordinate information as needed with ECS Claims Coordinators and follow-up on complex FMLA related tracking and recertification issues involving family member illness and intermittent employee absences.
- Facilitate FMLA related services and medical resources as needed. Provide return to work status information to supervisors. Act as primary FMLA and leave of absence resource. Provide guidance to supervisors and managers on leave policy and procedures, including creating and providing formal training presentations on legal requirements and company procedures. Provide guidance and direction to ECS Claim Staff on complex leave issues related to employee's own illnesses.
- Responsible for being the point person for questions/concerns from the Absence & Leave Specialist. Responsible for editing standard letters, drafting new letters as needed, leave request forms and other program documents. Act as backup for primary duties of Lead Claims Advisor - ECS.
- Assist in preparation and distribution of accumulated data reports.
- Perform other duties as assigned (no more than 5% of duties).
Qualifications
Education
- Bachelor's Degree in Human Resources, Business Administration, Rehabilitation Counseling, Psychology or related field, or equivalent training and experience preferred
Experience
- 3 years of experience in absence leave administration, sickness, long term disability (LTD) or Total Disability Under The Pension Plan (TDI) required.
- 2 years experience in payroll operations and knowledge of MyTime preferred
Skills and Abilities
- Thorough understanding of Federal/State regulations regarding Family and Medical Leave Act (FMLA), California Family Rights Act (CFRA), Family Sick Leave (FSL) and Pregnancy Disability Leave (PDL), as well as State Disability Insurance (SDI) and Family Temporary Disability Insurance (FTDI) . Advanced
- Ability to effectively communicate, both verbally and in writing, with employees, supervisors, and external providers using tact and diplomacy when explaining decisions.
- Good planning and organizational skills to multitask in a high volume, fast paced work environment. Intermediate
- Basic math skills and the ability to navigate and analyze data from payroll system. Intermediate
- Basic computer skills and proficiency in Word and Excel. Intermediate
- Ability to work with company and database applications.
- Knowledge and understanding of company benefits and collective bargaining agreement preferred.
- Ability to maintain strict confidentiality of all information and materials.
San Diego Gas & Electric (SDG&E)
8326 Century Park Ct
San Diego
California United States
www.sdge.com
