Alisa Waara
Pataskala
Summary
Experienced disability claim examiner with a case load of 225+ claims. Interested in pursuing a position in an organization that is fast paced and challenging.
Experienced with analyzing medical and vocational evidence to determine eligibility for disability benefits. Utilizes comprehensive knowledge of disability regulations and policies to ensure accurate assessments. Track record of effective communication and thorough documentation, ensuring fair and just evaluations.
Overview
11
11
years of professional experience
Work History
Disability Examiner
Sedgwick
Ohio
08.2018 - Current
- Manage disability claims for Walmart contract, trained and mentored new associates, volunteered for overtime assignments, assisted COVID claims handling/additional duties, exceeded all performance goals included pending management, audits, customer service and technical file results. Review medical records, determine appropriate disability period, and maintains pending and contact goals.
- Telecommuter
Medical Secretary
Orthopedic One
09.2014 - 03.2018
- Maintain physician’s schedule. Maintain surgery schedule, physician “on call” schedule, communicate daily with surgery centers and hospital regarding surgery time and blocks. Schedule, cancel, and reschedule all appointments and testing for patients. Obtain prior insurance authorization for all procedures for patients. File and obtain approval for all Workman’s Compensation Claims. Answer and return phone calls from patients and other providers. Fill out disability and FMLA forms for patients. Call in prescriptions per physician’s orders. Follow up with referring physicians. Update and maintain patient documentation in the EMR system. Schedule surgery for patients. Organize home healthcare for patients after discharge from surgery. Follow and adhere to all HIPAA guidelines. Adhere to strict confidentiality standards.
Education
International Business
Sinclair Community College
Dayton, OH05.1997
International Business
Sinclair Community College
Dayton, OH05.1997
Skills
- Flexibility
- Assertiveness
- Influencing skills
- Medical terminology proficiency
- Documentation proficiency
- Disability determination
Timeline
Disability Examiner
Sedgwick
08.2018 - Current
Medical Secretary
Orthopedic One
09.2014 - 03.2018
International Business
Sinclair Community College
International Business
Sinclair Community College