Aurljin Vornbrock
Iowa City,IA
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
11
11
years of professional experience
Work History
Senior Short Term Disability Examiner Level II
Sedgwick CMS
11.2020 - 12.2023
- Identified limitations with thorough examinations of claims documentation and related records.
- Reviewed files to determine current status of illness claim and to develop plan of action.
- Review objective Physician Statements to determine eligibility for Short Term Disability pay while adhering to federal guidelines, HIPAA, and state paid leave policies.
- Complete action plans timely.
- Researched claims and incident information to deliver solutions and resolve problems.
Leave of Absence Coordinator II
Sedgwick CMS
11.2018 - 11.2020
- Handled Paid Parental Leave for client's employees.
- Collaborated with managers to identify and address employee relations issues.
- Created and published a check list for colleagues to use while handling Paid Parental Leave claims
- Created and delivered training sessions to staff and managers
- Improved office efficiency by effectively managing internal communications and correspondence.
- Adhere to federal guideline when processing claims.
- Ensuring client's employees are paid timely.
Leave of Absence Coordinator
Sedgwick CMS
11.2015 - 11.2018
- Make timely decisions on FMLA claims
- Review medical paperwork submitted for claims
- Adhere to federal guidelines when processing associate’s claims
- Maintaining HIPAA guidelines while working with associate’s medical claims.
Program Clerk I
ACT Inc.
11.2013 - 11.2015
- Process inbound calls for students, parents and high school counselors
- Resolve data and discrepancies within student records
- Resolve conflict between customers at ACT.
Student Services/Associate Team Member
ACT Inc.
08.2012 - 11.2013
- Process inbound calls for students, parents and high school counselors
- Resolve data and discrepancies within student records
- Resolve conflict between customers at ACT.
Education
Degree in progress - Business Administration with the emphasis on Human Resources
Kaplan University
01.2011
Skills
- File and Record Management
- Critical Thinking
- Claims Processing
- Team Collaboration
- Decision-Making
- Active Listening
- Claims Evaluation
Timeline
Senior Short Term Disability Examiner Level II
Sedgwick CMS
11.2020 - 12.2023
Leave of Absence Coordinator II
Sedgwick CMS
11.2018 - 11.2020
Leave of Absence Coordinator
Sedgwick CMS
11.2015 - 11.2018
Program Clerk I
ACT Inc.
11.2013 - 11.2015
Student Services/Associate Team Member
ACT Inc.
08.2012 - 11.2013
Degree in progress - Business Administration with the emphasis on Human Resources
Kaplan University