Alicia Folger
Topsham
Summary
Analytical and detail-oriented Senior Disability Claims Analyst known for identifying trends and recommending process improvements. Strong background in claims evaluation and medical documentation review, ready to leverage expertise to enhance operational efficiency and client satisfaction.
Overview
1
1
Certification
26
26
years of professional experience
Work History
Senior Disability Claims Analyst
TruStage
Madison
11.2015 - Current
- Analyzed disability claims for eligibility and regulatory compliance.
- Reviewed medical documentation to validate claims and establish appropriate benefits.
- Collaborated with healthcare providers to collect essential information for processing claims.
- Communicated claim decisions clearly to clients, ensuring awareness of awarded benefits.
- Managed claim files and documentation efficiently, maintaining accuracy and organization.
- Provided support and guidance to clients throughout the claims process, addressing concerns promptly.
- Conducted training sessions for new team members on claims procedures and best practices.
- Identified trends in claims data, recommending process improvements to streamline operations.
- Ensured exceptional customer service through clear telephone communication and timely follow-ups.
- Delivered quality customer service to insured and claimants throughout claims lifecycle, promoting timely resolution.
- Consulted with supervisors when making difficult decisions involving sensitive issues.
- Coordinated with healthcare providers, legal teams, employers, and insurance companies.
- Gathered and analyzed data to determine eligibility for disability benefits.
- Assisted in the development of medical evidence including reports, summaries, and opinions.
Office Manager
State Farm Insurance Inc
Brunswick
07.2004 - 11.2015
- Managed daily office operations and administrative tasks for a leading insurance provider.
- Coordinated communication between clients and insurance agents to ensure service efficiency.
- Oversaw scheduling and organization of meetings for management and staff teams.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Monitored payments due from clients and promptly contacted clients with past due payments.
Payroll Clerk
Checks & Balances
Brunswick
02.2001 - 07.2004
- Processed payroll for employees using automated systems and software.
- Verified employee timecards for accuracy and compliance with company policies.
- Maintained payroll records and ensured timely updates of employee information.
- Responded to employee inquiries regarding payroll issues and discrepancies.
- Collaborated with HR to ensure accurate benefit deductions from payroll.
- Supported year-end processes, including tax reporting and W-2 preparation.
- Calculated accurate wages, including overtime, salary increases and bonuses.
- Gathered timesheets to prepare weekly payroll data for processing by payroll coordinator.
Education
High School Diploma -
Mt Ararat High School
Topsham06-1994
Some College (No Degree) - Accounting And Finance
New Hampshire College
BrunswickSkills
- Claims analysis
- Regulatory compliance
- Medical documentation review
- Eligibility determination
- Process improvement
- Customer relationship management
- Claims processing
- Data analysis
- Claims evaluation
- Effective communication
- Problem solving
Certification
- Property & Casualty Producer and Adjuster
Timeline
Senior Disability Claims Analyst
TruStage
11.2015 - Current
Office Manager
State Farm Insurance Inc
07.2004 - 11.2015
Payroll Clerk
Checks & Balances
02.2001 - 07.2004
High School Diploma -
Mt Ararat High School
Some College (No Degree) - Accounting And Finance
New Hampshire College