Family and Medical Leave Administration

If you manage Family Medical Leave either as an employer or a third party administrator you’ve struggled with the multitude of nuances and compliance issues surrounding Absence Management.

How can you tighten up your operation, ensure maximum productivity and ensure your regulatory duties are being met?

Designed to help manage the complexities of complying with Federal and State FMLA regulations, and streamlining your business process, the following provides some key factors of the ClaimVantage solution.

Claim Intake

A robust and user friendly intake that was designed to maximize productivity and customer service.  Our system is designed with logic to ensure the user is consistently following the appropriate path of questions for each individual claimant.

Determining Eligibility

ClaimVantage reviews the claimants’ eligibility for all federal and state rules and will provide the user with the appropriate determination for each, ensuring the federal timelines are met. Additionally, this eliminates improper eligibility determinations and ensures the legal compliance of your operation.

Managing your Claims

  • Automated tasks based on your business workflow will ensure legal compliance while again maximizing the productivity of your operation.
  • Employer e-mails will be sent notifying them of the decisions of claims.  Determinations will be scheduled in a timely manner and recertification notifications will eliminate lapses in coverage.
  • Notifications of an employee exceeding the frequency and duration of approved intermittent leaves will allow a proactive approach to managing your claims.
  • Automated 75% and 100% exhaustion of benefit notifications will be sent so that both the employee and employer can make appropriate accommodations.

Reports

Operational and analysis reports are included in the package along with the tools to build your own to help better manage your operation.

Integrated Disability and Absence Management

The ClaimVantage Solution Absence Management system can be used as a standalone, or if desired, can be integrated with the ClaimVantage Solution Short Term Disability claims processing system.