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Case Number: A-22151-63320

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22151-63320

Case Status

Denied

Received Date

2022-05-31

Decision Date

2023-01-31

Refile

N

Original File Date

2023-01-01 08:10:20

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Modern Essence Dentistry

Employer Name Slug

modern-essence-dentistry

Employer Address 1

818 E Nerge Road

Employer Address 2

Employer City

Roselle

Employer City Slug

roselle

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60172

Employer Phone

6305820878

Employer Number of Employees

8

Employer Year Commenced Business

2009

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Lauren K Viveros

Employer Contact Address 1

818 E Nerge Rd

Employer Contact Address 2

Employer Contact City

Roselle

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60172

Employer Contact Phone

847-754-9954

Employer Contact Email

lauren@modernessencedentistry.com

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P-100-21230-529

PW SOC Code

43-9041

PW SOC Title

Insurance Claim Clerk

PW Skill Level

N/A

PW Wage

38875.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-05-31

PW Expiration Date

2022-07-27

Wage Offer From

38875.00

Wage Offer To

0.00

Average Salary

38875.00

Wage Unit of Pay

Year

Worksite Address 1

818 E Nerge Rd

Worksite Address 2

Worksite City

Roselle

Worksite City Slug

roselle

Worksite State

ILLINOIS

Worksite Postal Code

60172

Job Title

Insurance Claim Clerk

Job Title Slug

insurance-claim-clerk

Minimum Education

High School

Major Field of Study

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

Customer service with computer literacy

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2020-03-01

SWA Job Order End Date

2022-03-31

Sunday Edition Newspaper

N

First Newspaper Name

Indeed

First Advertisement Start Date

2022-04-01

Second Newspaper Ad Name

Indeed

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-05-01

Employer Website From Date

2023-01-01 08:10:20

Employer Website To Date

2023-01-01 08:10:20

Professional Organization Ad From Date

2023-01-01 08:10:20

Professional Organization Advertisement To Date

2023-01-01 08:10:20

Job Search Website From Date

2023-01-01 08:10:20

Job Search Website To Date

2023-01-01 08:10:20

Employee Referral Program From Date

2023-01-01 08:10:20

Employee Referral Program To Date

2023-01-01 08:10:20

Local Ethnic Paper From Date

2023-01-01 08:10:20

Local Ethnic Paper To Date

2023-01-01 08:10:20

Radio/TV Ad From Date

2023-01-01 08:10:20

Radio/TV Ad To Date

2023-01-01 08:10:20

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

COMPUTER SCIENCE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

ACLC COLLEGE OF MEYCAUAYAN

Foreign Worker Education Institution Address 1

MC MALL BUILDING, MC ARTHUR HIGHWAY, BANGA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MEYCAUAYAN

Foreign Worker Education Institution State/Province

BULACAN

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

3020

Foreign Worker Experience with Employer

Y

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Lauren K Viveros

Preparer Title

Patient Care Coordinator

Preparer Email

lauren@modernessencedentistry.com

Employer Information Declaration Name

Brainard G Llanes

Employer Information Declaration Title

DentistCEO