Ayari Alvarez
Bridgeview
Summary
Experienced and knowledgeable Claims & Benefits Specialist with nearly 5 years of expertise in disability case management and leave administration. Skilled in navigating FMLA and STD processes while delivering clear, empathetic communication to employees and employers. Consistently recognized for resolving complex issues and improving customer satisfaction. Demonstrated ability in fostering positive client interactions and maintaining high service standards. Detail-oriented and tech-savvy with a strong record of managing sensitive cases in high-volume environments. Dedicated to supporting individuals throughout their leave and disability journeys.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Senior Disability Representative
Sedgwick
11.2023 - 12.2025
- Handle complex disability and behavioral health claims with a focus on timely and accurate benefit determinations.
- Serve as a subject matter expert and mentor to junior representatives.
- Communicate claim decisions and next steps with clarity and empathy.
- Collaborate with internal teams and external partners to resolve escalations and ensure compliance.
- Streamlined processes to enhance efficiency in case management workflows.
- Managed client communications to ensure timely resolution of claims and inquiries.
Disability Representative
Sedgwick
01.2022 - 11.2023
- Managed short-term disability claims from intake to closure.
- Coordinated with medical providers to obtain and evaluate documentation.
- Educated employees and employers on claim status, benefits, and expectations.
- Maintained accurate documentation while upholding quality assurance standards.
- Assessed client needs to provide tailored disability support and resources.
- Developed and implemented strategies for case management to enhance client engagement.
Leave of Absence Coordinator
Sedgwick
02.2021 - 12.2021
- Supported employees on leave under FMLA, state, and employer-specific programs.
- Initiated and monitored cases while responding to time-sensitive inquiries.
- Ensured accurate data entry and confidential recordkeeping.
- Coordinated leave of absence processes to ensure compliance with company policies and regulations.
- Managed employee communication regarding leave status and options available under various programs.
- Streamlined documentation processes to enhance efficiency in processing leave requests.
- Advised employees on rights and responsibilities related to leave, fostering a supportive work environment.
Dental Assistant
Bailey Dental
07.2018 - 02.2021
- Managed patient intake, appointments, and records under HIPAA compliance.
- Assisted patients in understanding treatment plans and insurance coverage.
- Maintained documentation for diagnosis and insurance claims.
- Provided scheduling, billing, and benefits coordination support.
- Educated patients on post-procedure care and financial responsibility.
- Built strong patient relationships through compassionate communication.
- Assisted in patient preparation and comfort prior to dental procedures.
- Sterilized instruments and maintained cleanliness of treatment areas.
Education
Graduate Certificate - Dental Assisting
Northwestern College
Bridgeview, IL05-2018
Skills
- Disability & Leave Case Management
- FMLA Administration
- Medical Certification Review
- Customer relations
- Claim Eligibility & Determination
- High-Volume Time Management
- HIPAA Compliance
- Case Documentation
- Data entry proficiency
- Cross-Team Collaboration
- Client & Employee Communication (Phone & Written)
- Customer support
- Goal-oriented mindset
Certification
Active NY Independent Adjuster's License
Timeline
Senior Disability Representative
Sedgwick
11.2023 - 12.2025
Disability Representative
Sedgwick
01.2022 - 11.2023
Leave of Absence Coordinator
Sedgwick
02.2021 - 12.2021
Dental Assistant
Bailey Dental
07.2018 - 02.2021
Graduate Certificate - Dental Assisting
Northwestern College