Brian Kunkle
Bethel Park,PA
Summary
High-performing Pre-Appeal Manager distinguished by remarkable efficiency and consistent task fulfillment. Specialize in risk mitigation, financial compliance, and compliance enhancement. Excel in communication, leadership, and problem-solving to deliver impactful insights and improvements. Committed to maintaining integrity and transparency in all processes.
Overview
27
27
years of professional experience
Work History
Pre-Appeal Manager
New York Life
Pittsburgh, PA
01.2018 - Current
- Enforced customer service standards and resolved customer problems to uphold quality service.
- Assigned tasks to associates to fit skill levels and maximize team performance.
- Ensured compliance with industry regulations and company policies.
- Coordinated strategies to uphold policy and procedure adherence.
- Mentored junior staff in best practices for client engagement techniques.
- Facilitated regular meetings to discuss strategic goals and progress updates.
Long Term Disability Case Manager
Cigna Group Insurance
Pittsburgh, PA
01.2012 - 01.2018
- Collaborated with healthcare providers to gather necessary medical documentation to resolve claims.
- Evaluated client information to determine eligibility for benefits and services.
- Provided training to new team members on case management procedures.
- Maintained comprehensive case files and documentation in the system.
- Collaborated with legal counsels when needed in order to resolve complex cases involving disputes over entitlement or amount of benefits payable.
Short Term Disability Case Manager
Cigna Group Insurance
Pittsburgh, PA
01.2006 - 01.2012
- Oversaw delivery of blended services to clients
- Evaluation of claims based on medical information
- Assessed medical records to determine if the claimant's disability meets criteria for approval or denial.
- Monitored progress of open cases on a weekly basis, providing follow up support as needed.
- Contacted employers or insurance providers regarding any discrepancies found during the investigation process.
Marketing Manager
HSI Sports Arena
Mt. Pleasant, PA
01.2005 - 01.2006
- Budget planning
- Assess client needs and develop individualized service plans
- Identified avenues for business opportunities
Facility Manager
Stewart's Gym
Murrysville, PA
01.1999 - 01.2001
- Weekend operations manager
- Managed gym accounts and created new business
Special Needs Aquatics Program (SNAP)
IUP
Indiana, PA
01.2005 - 2005
- Promoted physical fitness among special needs children through tailored assistance.
- Maintained expertise by pursuing continuing education and advanced training opportunities.
- Utilized advanced technical skills to troubleshoot complex issues and implement effective solutions.
Education
Bachelor of Science - Sports Management, Business Management
Indiana University of Pennsylvania (IUP)
Indiana, PASkills
- Claims assessment and case oversight
- Conflict resolution and risk analysis
- Client relationship management
- Mentoring and coaching
- Compliance with regulations
Affiliations
Volunteer Wrestling Coach - Bethel Park 2016 - Present
Timeline
Pre-Appeal Manager
New York Life
01.2018 - Current
Long Term Disability Case Manager
Cigna Group Insurance
01.2012 - 01.2018
Short Term Disability Case Manager
Cigna Group Insurance
01.2006 - 01.2012
Marketing Manager
HSI Sports Arena
01.2005 - 01.2006
Special Needs Aquatics Program (SNAP)
IUP
01.2005 - 2005
Facility Manager
Stewart's Gym
01.1999 - 01.2001
Bachelor of Science - Sports Management, Business Management
Indiana University of Pennsylvania (IUP)