Summary
Overview
Work History
Education
Skills
Timeline
Generic

Andrea Regan

Columbus,OH

Summary

My goal is to become part of a team. I would love the chance to share my experiences, as well as learn new experiences. I am a very quick learner and love taking on new challenges. I work well under pressure and I consider myself experienced at multi-tasking.

Overview

21
21
years of professional experience

Work History

Benefits Liasion

Sedgwick
Remote
05.2016 - Current
  • Serves as liaison between Company and client human resources (HR) and employees in management of absence programs including short term disability and leave of absence
  • Communicates with client, employee, and Company operations team to coordinate resolution of escalated issues
  • Works with Project Manager to update and maintain absence program procedures relating to administration, compliance requirements, and audits of leaves; employee handbook and other program-related documents.
  • Researches and resolves pay related escalations with extensive knowledge base of system coding and pay impacting files including WSI, job row, ATP, and off cycles
  • Assists in completion of reports as requested by internal or external client
  • Completes root cause analysis for pay related escalations

Disability Claims Representative Sr.

Sedgwick
New Albany, OH
08.2014 - 05.2016

• Analyze and determine eligibility for short term disability benefits by specific guidelines

• Manage short term disability claims with concurrently with FMLA according to ERISA guidelines

• Uses knowledge and application of ICD9 and CPT codes while managing disability claims

• Communicate effectively while providing excellent customer service and building a rapport with associates to guide them with the disability process

• Review medical documentation to determine one's ability to meet the definition of disability based on the client specific definition

• Accurately document correspondences with associates and medical providers

• Demonstrates excellent time management skills to meet deadlines relating to the claim process in order to satisfy best practice

• Operates as one company one team in order to exemplify core values

Disability Claims Representative

Sedgwick
New Albany, OH
08.2012 - 08.2014

Analyze and determine eligibility for short term disability benefits by specific guidelines

• Manage short term disability claims with concurrently with FMLA according to ERISA guidelines

• Uses knowledge and application of ICD9 and CPT codes while managing disability claims

• Communicate effectively while providing excellent customer service and building a rapport with associates to guide them with the disability process

• Review medical documentation to determine one's ability to meet the definition of disability based on the client specific definition

• Accurately document correspondences with associates and medical providers

• Demonstrates excellent time management skills to meet deadlines relating to the claim process in order to satisfy best practice

• Operates as one company one team in order to exemplify core values

Risk Mitigation

Huntington National Bank
Columbus, OH
01.2005 - 01.2011
  • This position allowed me to work with customers via phone, and to advise appropriate business segments, with identified risks and regulatory action
  • I was responsible for calculating and processing daily holds reports and monitored customer accounts
  • I had the training to use software to detect transactions and accounts that increase risk and loss exposure
  • I was specifically trained to detect excessive use of uncollected funds on deposit accounts
  • Scanning banking documents into the system daily was also my responsibility

Education

Certificate - Clinical Medical Assisting

San Joaquin Valley College
Visalia, California
01.2012

Skills

  • Assertiveness
  • Mediation skills
  • Influencing skills
  • Representative experience
  • Critical evaluation capacity
  • Verbal and written communication
  • Team collaboration
  • Goal setting
  • Collaborative relationships
  • Project planning
  • Issue resolution
  • Policies and procedures implementation
  • Complex problems analysis

Timeline

Benefits Liasion

Sedgwick
05.2016 - Current

Disability Claims Representative Sr.

Sedgwick
08.2014 - 05.2016

Disability Claims Representative

Sedgwick
08.2012 - 08.2014

Risk Mitigation

Huntington National Bank
01.2005 - 01.2011

Certificate - Clinical Medical Assisting

San Joaquin Valley College
Andrea Regan