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.

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

21
21
years of professional experience

Work History

Benefits Liasion

Sedgwick
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
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
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
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

Skills

  • Complex problems analysis
  • Absence program administration
  • Short term disability management
  • Claim eligibility analysis
  • Compliance requirements
  • Medical documentation review
  • Customer relationship management
  • Issue resolution
  • Time management
  • Root cause analysis
  • Effective communication
  • Problem solving
  • Attention to detail
  • Team collaboration
  • Report generation
  • Data analysis
  • Representative experience
  • Influencing skills
  • Assertiveness
  • Mediation skills
  • Critical evaluation capacity
  • Attendance guidelines
  • Project planning
  • Collaborative relationships
  • Policies and procedures implementation
  • Verbal and written communication
  • Proficient in all Microsoft software platforms

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