ADA Case Specialist

Overview

On Site
Contract - W2

Skills

Attention to detail
Customer service
Customer facing
Computer literacy
Microsoft Office
Training and development
ADA
Insurance
FMLA
Claims
Data
UPS
Health care
Communication
Documentation
MEAN stack
SAP BASIS
Policies

Job Details

Software Guidance & Assistance, Inc., (SGA), is searching for an ADA Case Specialist for a contract assignment with one of our premier Insurance services clients in Oriskany, NY.

Responsibilities :
  • Handle intake calls for FMLA claims and leaves.
  • Determine eligibility for FMLA and other leaves during intake call.
  • Promptly review new FMLA and Company Leave (Bereavement, Jury Duty, Etc.) notices and act upon them within documented timeline standards.
  • Complete eligibility decisions during intake.
  • Gather pertinent data when necessary from employee or other supporting systems.
  • Identify and evaluate leave specifics and make initial case decisions - approve or deny.
  • Perform leave follow-ups as required with employee, employer or healthcare provider. This may include recertification of a serious health condition, intermittent claim tracking, confirmation of actual return-to-work, etc.
  • Perform standard communication (phone calls, emails, and letters) to appropriate parties throughout the duration of the leave.
  • Consistently updates FML and Leave applications to accurately reflect leave status and ensure that appropriate diary documentation exists.
  • Respond to employee and employer inquiries regarding the status or availability of FML and Company leave.
Required Skills:
  • 1-2 Years of customer service experience/phone experience, or equivalent. Will accept customer facing experience as well (fast food, etc.).
  • Requires a high school diploma or equivalent.
  • Basic computer literacy - Microsoft office experience.
  • Attention to detail.
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.