Ashley Hudgens

• Ensured eligibility decisions for short-term disability through thorough investigations.
• Utilized contractual provisions, legal guidelines, and case management resources for claim determinations.
• Facilitated communication with claimants, employers, and medical professionals for short-term disability benefits.
• Handled diverse written and telephone inquiries regarding eligibility, approval or denial determinations.
• Evaluated liability for claims including offsets like social security, workers compensation, and third parties.
• Precisely recorded updates in system and claim files reflecting completed tasks.
• Created forward-looking action blueprint and case orientation.

• Evaluate client applications to approve, lower, or deny benefits based on guidelines.
• Engaged clients in discussions about income, resources, and money management.
• Executed work tasks efficiently with a focus on delivering 97% error-free casework.
• Demonstrated rapid, accurate work under continuous interruptions.

• Maintained professional communication with patients, their families, physicians' office staff, nursing units, care management teams, ancillary departments, and insurance companies.
• Coordinate patient appointments following clinical protocols.
• Processes precise patient demographic and insurance details within the EMR system.

Handled and routed patient communications in adherence to established protocols.

• Evaluated and resolved technical issues to ensure smooth operations.
• Monitored incident escalation processes and ensured alignment with established thresholds.
• Maintained accuracy of incident records within the ticket management platform.
• Communicated completion of issue resolution to appropriate team members and users.

• Supervised end-to-end claim management operations for various platforms, ensuring accurate and consistent output.
• Uploaded Explanation of Benefits to electronic medical records.
• Communicated with clients on billing, claim submission status, processes, and training.
• Enhanced team interaction through effective communication methodologies.
• Managed escalation cases by addressing or rerouting as needed.
• Demonstrated strong judgment and critical thinking to resolve complex issues.
• Displayed adaptability and efficiency in handling simultaneous tasks.
• Processed eligibility and benefit information for patient coverage.