Allyson Emmanuel
Windsor
Summary
Insurance Claims Specialist with extensive experience in FMLA administration and claims processing at MetLife Insurance Company. Skilled in improving customer service through clear communication and attention to detail. Managed complex leave cases, ensuring compliance and achieving favorable outcomes for employees while promoting teamwork and problem-solving.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Insurance Claims Specialist
MetLife Insurance Company
New York
01.2021 - Current
- Manage employees' leave of absence for major companies.
- Performs inquiries for Family Medical Leave of Absence, FMLA.
- Obtain medical information from clinicians on behalf of employees when necessary.
- Communicate with employers to obtain authorization for decisions on employee personal leave of absence, PLOA, claims.
- Follow customers' policies to extend maximum and accurate service to their employees.
- Reconcile FMLA balances for employees.
- Proper documentation to employees claims for management accuracy.
- Create and manage Paid Parental Leave, PPL, Personal Leave of Absence, PLOA, and employee standalone claims.
- Input employees' personal banking information for paid claims.
- Work alongside my team to achieve optimum customer service.
- Attend weekly huddles.
Executive Administrative Assistant
Hartford Healthcare, Hartford Hospital
Hartford
10.2018 - 06.2021
- Answered incoming telephone calls from internal and external customers promptly and professionally; transferred calls appropriately; responded to inquiries in a timely manner.
- Prepared agendas for meetings; took minutes during meetings; distributed meeting notes to appropriate personnel.
- Prepared monthly financial statements according to established deadlines.
- Organized and maintained executive calendars, scheduled meetings, conferences, travel arrangements, and appointments.
- Developed filing systems to maintain confidential records of personnel information and business activities in accordance with company policies.
- Greeted visitors upon their arrival; directed them to the appropriate destination or person; provided general information about the organization when necessary.
- Provided secretarial support to the executive staff including composing correspondence, memos, presentations, reports and other documents as requested.
- Ordered office supplies as needed while monitoring inventory levels to ensure adequate stock is available at all times.
- Managed incoming mail by sorting out items that needed immediate attention or forwarding it on to the appropriate department or individual for action or response.
- Handled confidential information with discretion and integrity.
- Relayed messages, retrieved reports and printed documents for co-workers to assist with office workflow.
- Conduct daily huddles.
Education
Certificate - Healthcare Administration
Branford Hall Institute
Windsor, CT05-2005
Skills
- Claims processing
- FMLA administration
- Medical documentation
- Data entry
- Regulatory compliance
- Customer service
- Effective communication
- Time management
- Attention to detail
- Problem solving
- Amount calculation
- Client interviews
- Decision-making
- Research skills
- Allocating claims
- Eligibility determination
- Teamwork
Affiliations
- Extensive reading
- Gardening
- Theatre
- Coaching
Certification
- Life coach Certificate
Accomplishments
- High School Valedictorian
- High School Sports Captain
Timeline
Insurance Claims Specialist
MetLife Insurance Company
01.2021 - Current
Executive Administrative Assistant
Hartford Healthcare, Hartford Hospital
10.2018 - 06.2021
Certificate - Healthcare Administration
Branford Hall Institute
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