Adrianne Prizmik
Summary
With over 10 years of direct experience in absence management my journey began on the phones, handling various roles including FMLA and STD. With dedication and expertise, quickly progressed to the role of Team Lead. Throughout tenure, I was aligned to programs that catered to employee populations ranging from 12,000 to over 1.5 million individuals. As a leader, successfully managed a team of nine examiners on a high-volume program, ensuring the well-being of 91,000 lives.
Overview
11
11
years of professional experience
Work History
Disability Representative Sr
Sedgwick
07.2023 - Current
- Selected by upper leadership to assist with Ford go live short-term disability conversion clean-up project
- Contributed to the overall success of their team and other programs within Workforce Absence
- Provide total claim management on 160 cases ranging from FMLA, STD, State leaves
- Strong knowledge of ICD10/cpt codes medical terminology (S.M.E) on reviewing medical forms,
Workforce Absence Team Lead
Sedgwick
12.2022 - 07.2023
- Lead a team of 9 examiners both leave of absence and disability they managed cases ranging from disability, family medical on a program supporting 91, 000 employee program, enhancing service delivery by implementing effective forecasting and scheduling strategies within 12 months
- Ensured daily tasks were delivered through performance guarantees ensuring service levels for our program was met
- Strong knowledge of medical terminology ICD 110 and resolved client escalations
- Strong root cause analysis
Disability Representative Sr
Sedgwick
01.2021 - 12.2022
- Provide total claim management on 120 cases ranging from FMLA, STD, State leaves: CA, American Disability Act (ADA)
- Strong knowledge of ICD 10 codes (S.M.E) on reviewing medical forms
Case Manager Absence Management (Short Term disability as of 6/2017)
Reed Group (Guardian)
05.2014 - 12.2020
- Researched and resolved client escalated claims
- Provide total claim management on 140 cases ranging from FMLA, STD, State leaves, American Disability Act (ADA), and client specific
Education
Bachelor’s - business management
University of Central Florida
Orlando, FLSkills
- Conflict resolution
- Team leadership
- Workflow management
- Performance monitoring
- Work assignment delegation
- Coaching
- Task delegation
- Service level agreements
- Clinical documentation
- Medical claims coding
- Claims processing
- ICD-10 coding
- Workflow coordination
- Staff scheduling
Timeline
Disability Representative Sr
Sedgwick
07.2023 - Current
Workforce Absence Team Lead
Sedgwick
12.2022 - 07.2023
Disability Representative Sr
Sedgwick
01.2021 - 12.2022
Case Manager Absence Management (Short Term disability as of 6/2017)
Reed Group (Guardian)
05.2014 - 12.2020
Bachelor’s - business management
University of Central Florida