Carol Black
Gorham,ME
Summary
Team-oriented professional prepared to take on leadership responsibilities with focus on driving results and fostering collaboration. Proven success in managing teams, and adapting to dynamic work environments. Known for reliability, flexibility, and strong organizational skills, ensuring seamless team operations and achievement of goals. Utilizes strong organizational and communication skills to foster collaboration and drive performance.
Overview
23
23
years of professional experience
Work History
Team Lead/Short Term Disability
OneAmerica Financial
South Portland, ME
03.2020 - 10.2025
- Guided team members through training initiatives, reinforcing company procedures and encouraging a culture of collaboration to boost team effectiveness.
- Implemented structured feedback mechanisms and training programs to drive continuous improvement in team performance.
- Facilitated a collaborative work atmosphere by prioritizing teamwork, maintaining transparent communication, and recognizing my peers both verbally and through the employee recognition programs.
- Cultivated a culture of excellence and professionalism by consistently embodying company values as a team role model.
- Coordinated efforts with other department heads to improve workflow efficiency and achieve shared organizational goals.
- Evaluated customer needs and feedback to drive product and service improvements.
- Streamlined service processes to optimize customer experience and address issues promptly and effectively.
- Monitored and validated claims to ensure alignment with company policies and state regulations, while ensuring the team stayed within 3 to 5 day business turnaround time.
- Analyzed and improved workflows, leading to decreased processing durations and increased accuracy in outcomes.
- Assessed performance data to pinpoint opportunities for ongoing enhancement in departmental operations.
- Managed project timelines effectively, ensuring timely completion of critical deliverables.
- Guided team members in effective techniques to enhance job performance.
- Championed organizational transformation through strategic thinking, innovative solutions, and steadfast leadership.
- Analyzed performance metrics to identify areas for continuous improvement within the department.
- Helped developed training programs to mentor junior staff and elevate team performance.
- Helped to streamlined workflows, resulting in reduced processing times and improved accuracy.
Senior Claims Analyst/Short Term Disability
OneAmerica Financial
South Portland, ME
01.2019 - 03.2020
- Demonstrated strong analytical and evaluation capabilities to drive informed decision-making.
- Executed tasks effectively both independently and as part of a team while managing tight deadlines.
- Leveraged strong organizational and negotiation skills to facilitate effective collaboration and agreement.
- Utilized analytical skills to address and resolve claim disputes, ensuring customer satisfaction.
- Reviewed and validated disability claims to ensure compliance with established company standards and legal requirements.
- Administered extensive claim caseloads while ensuring accuracy, thorough documentation and meeting service standards by returning phone calls and emails with 24 hours, processing new claims within 3 to 5 business days and documents received within 3 to 5 business days.
Senior Claims Analyst/Short Term Disability
Custom Disability Solutions
South Portland, ME
03.2016 - 01.2019
- Demonstrated strong analytical and evaluation capabilities to drive informed decision-making.
- Executed tasks effectively both independently and as part of a team while managing tight deadlines.
- Leveraged strong organizational and negotiation skills to facilitate effective collaboration and agreement.
- Utilized analytical skills to address and resolve claim disputes, ensuring customer satisfaction.
- Reviewed and validated disability claims to ensure compliance with established company standards and legal requirements.
- Administered extensive claim caseloads while ensuring accuracy, thorough documentation and meeting service standards by returning phone calls and emails with 24 hours, processing new claims within 3 to 5 business days and documents received within 3 to 5 business days.
Team Lead STD/LTD/Accident/Cancer/Critical Illness
Disability RMS
Westbrook, ME
06.2002 - 01.2019
- Strong technical knowledge and ability to utilize the right resources to deliver effective risk management results Technical resource to a team of 14 people, while managing multiple products.
- Interprets contracts and ensures consistent, fair claims practices and adherence to appropriate laws, regulations, and procedures.
- Knowledgeable in the handling of claims that require rescission and pre-existing reviews.
- Assist Manager with team workflow, case load assignments, and coordinate coverage during Manager's absence.
- Train and mentor existing staff and new hires.
- Support team in achieving financial accuracy, identify and support any training and development needs Deliver dependable, accurate, timely claim decision sign offs.
- Support Manager with escalated client and customer calls and issues.
- Return to work addressed on claims to make appropriate referrals for Vocational Rehab assistance Comply with ERISA and Non-ERISA timelines and tracking.
- 2 years experiencing handling the voluntary Accident, Critical Illness and Cancer coverages.
Education
Westbrook High School
Westbrook, MESkills
- Clear verbal and written communication
- Independent learner
- Coaching and mentoring
- Supportive change management
- Critical thinking skills
- Collaborative team member
- Strong attention to detail
- Customer focus
- Performance monitoring
- Conflict resolution
Timeline
Team Lead/Short Term Disability
OneAmerica Financial
03.2020 - 10.2025
Senior Claims Analyst/Short Term Disability
OneAmerica Financial
01.2019 - 03.2020
Senior Claims Analyst/Short Term Disability
Custom Disability Solutions
03.2016 - 01.2019
Team Lead STD/LTD/Accident/Cancer/Critical Illness
Disability RMS
06.2002 - 01.2019
Westbrook High School