Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Integrated Claims Examiner
Reliance Matrix
Phoenix
10.2021 - Current
Communicated with clients to gather necessary information for claims.
Processed claim documentation using company software systems.
Maintained detailed records of claim activities and statuses.
Collaborated with team members to streamline claims processing workflow.
Adhered to company policies and procedures during claim evaluations.
Managed workloads efficiently by prioritizing tasks based on urgency or importance.
Paid and processed claims within designated authority level.
Senior Disability Examiner
Sedgwick CMS
Dubuque
09.2012 - 10.2021
Evaluated disability claims to determine eligibility and compliance with policies.
Reviewed medical documentation to assess the impact on claim decisions.
Collaborated with healthcare providers for additional information on claims.
Conducted interviews with claimants to gather necessary details for assessments.
Documented findings and maintained accurate records in the claims system.
Participated in training sessions to enhance understanding of disability regulations.
Collaborated with physicians, psychologists, and other healthcare professionals to obtain additional pertinent information regarding the claimant's condition.
Maintained up-to-date knowledge of changing regulations governing disability determination processes.