Brittany N. Prichett

Work History

Accenture

Chicago, IL

05.2021 - Current

Responsible for managing 120+ claims in the disability insurance industry while ensuring quality service
Completed 15+ decisions per week maintaining a quality score of 98% or above
Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio
Maintain Key Performance Indicators by processing claims timely and professionally
Knowledge of ERISA, Fair Claims Practices Model Act, privacy regulations, punitive damages statues and state and federal laws governing group insurance the Family Medical Leave Act and state leave laws
Works with Disability Case Management Nurses and Physician Reviewers to review complex/questionable claims
Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimant's and employer's trust and confidence; anticipates customer’s needs and takes action as appropriate
Processed entries to make adjustments and post to client accounts.
Performed quality assurance checks and reported issues to management to discuss solutions.
Performed in-depth research and investigations and recommended strategies to resolve problems and prevent further concerns.

Matrix Absence Management

Hawthorne, NY

09.2020 - 01.2021

Developed and improved the caseloads of case managers by reducing the past due case load by 45%
Received 97% satisfaction rating from customers after completed phone calls or emails
Exhibited strong organizational, managerial, and personal skills to successfully communicate with internal and external customers
Manage customer relationships and become a trusted advisor for the customer
Worked to ensure customer satisfaction with the product by anticipating customer needs, understanding the overall vision of their company, and helping stakeholders achieve success through the platform
Kept records of customer interactions, processed customer accounts, and file documents
Collaborated with the team to quickly resolve customer complaints with the appropriate action
Opened, sorted, and distributed incoming messages and correspondence
Analyzed information gathered during investigation and reported findings and recommendations
Effectively managed approximately 100 incoming calls daily as well as making over 25 efficient and timely decisions per day

Sedgwick CMS

Chicago, IL

09.2018 - 12.2020

Used strong communication skills to collaborate with team members to ensure efficient service
Managed customer relationships, guided strategic planning sessions, facilitated client training, and led proactive check-ins and business reviews
Typed documents such as correspondence, drafts, memos, and emails, and prepared 3 reports weekly
Proven track record of consistently exceeding objectives; self-motivated and driven by results
Processed over 50 claims daily, determined appropriate payments, and confirmed if state benefits or workers compensation benefits applied to the claim
Answered upwards of 60 phone calls daily, taking detailed messages
Coordinated part time and full time return to work between the employee, vocational case manager and employer towards the end of the life of the claim

United States Air Force Reserve

Peru, IN

12.2008 - 10.2016

Measured patient vital signs such as blood pressure, pulse rate and temperature to record information on patients' charts.
Performed patient service duties by communicating directly with patients, answering questions and assisting with concerns.
Administered medications and performed basic and advanced patient assessments.
Interacted with patients and families while demonstrating high standards of performance, teamwork and compassion.