What are the responsibilities and job description for the Case Management Administrator position at Software Guidance & Assistance, Inc. (SGA, Inc.)?
Software Guidance & Assistance, Inc., (SGA), is searching for an Case Manager/Specialist for a contract assignment with one of our premier financial services clients in Oriskany, NY.
***Position is virtual but must be based out of Oriskany, NY - candidate must be able to come into the office once per month or more as requested***
Responsibilities:
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 EEO page to request an accommodation or assistance regarding our policy.
***Position is virtual but must be based out of Oriskany, NY - candidate must be able to come into the office once per month or more as requested***
Responsibilities:
- Administer Family & Medical Leave
- Act standalone claims.
- Adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures.
- Handle intake calls for FMLA claims and other leaves.
- Complete eligibility decisions during intake call, gather pertinent data when necessary from employee or other supporting systems.
- Promptly review new FLMA and other leave claims, evaluate against appropriate leave plans and make initial claim decision.
- Perform leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc.
- Update systems to accurately reflect leave status and ensure appropriate diary documentation exists.
- Performs other related duties as assigned or required.
- 1-2 years in customer service experience.
- Must be computer literate - intermediate to advanced proficiency
- Must be proficient with Microsoft Suite: Microsoft Word, Teams, Outlook, Calendar, etc.
- FMLA experience or claims experience.
- Experience in medical industry
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 EEO page to request an accommodation or assistance regarding our policy.
Salary : $20