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FMLA Case Management Specialist

2 months ago

Oriskany, New York, United States Software Guidance and Assistance, Inc. Full time

Software Guidance & Assistance, Inc. (SGA) is seeking a FMLA Case Management Specialist for a contract opportunity with a leading client in the insurance sector.

Key Responsibilities:

  • Manage incoming calls related to FMLA claims and various leave requests.
  • Assess eligibility for FMLA and other leave types during initial contact.
  • Review new FMLA and Company Leave notifications promptly, adhering to established timelines.
  • Make eligibility determinations during the intake process.
  • Collect necessary information from employees or relevant systems as needed.
  • Evaluate leave specifics and make preliminary case decisions, including approvals or denials.
  • Conduct follow-ups regarding leave status with employees, employers, or healthcare providers, which may involve recertification or tracking intermittent claims.
  • Maintain standard communication through phone, email, and written correspondence throughout the leave duration.
  • Regularly update FMLA and leave applications to accurately reflect current status and ensure proper documentation.
  • Address inquiries from employees and employers regarding FMLA and Company leave status.
Required Qualifications:
  • 1-2 years of experience in customer service or phone support, or equivalent experience in customer-facing roles.
  • A high school diploma or equivalent is required.
  • Basic proficiency in computer applications, particularly Microsoft Office.
  • Strong attention to detail is essential.

SGA is a technology and resource solutions provider dedicated to excellence. As a women-owned business, our mission is to tackle significant IT challenges with a personalized approach. Each year, we connect professionals like you to numerous engagements. Our diverse team is built on core values of customer service, employee development, and integrity. We are committed to providing equal opportunities and reasonable accommodations for individuals with disabilities. For more information regarding our policies, please refer to our company EEO page.