Carolyn Clemens
Wilmington ,NC
Summary
Senior Disability Representative with a strong track record in claims processing and medical analysis. Demonstrated success in record keeping and conflict resolution, fostering collaboration with healthcare providers to streamline processes and improve client satisfaction. Exceptional communication skills and adeptness in high-pressure environments.
Overview
9
9
years of professional experience
Work History
Senior Disability Representative
Sedgwick
09.2019 - 11.2025
- Evaluated disability claims by analyzing medical documentation and determining benefit eligibility.
- Maintained accurate records of client interactions and service requests within the system.
- Collaborated with healthcare providers to gather information supporting claim decisions.
- Coordinated with internal teams to streamline claims processing and enhance workflow efficiency.
- Resolved customer complaints in a professional manner while remaining empathetic to their concerns.
Store Manager
Finishline
Dubuque, IA
01.2017 - 2019
- Directed daily operations to optimize store performance and enhance customer satisfaction.
- Cultivated a team-oriented environment by mentoring staff and fostering professional development.
- Implemented inventory management strategies to maintain optimal stock levels and reduce shrinkage.
- Coordinated staff schedules to ensure adequate coverage during peak business hours.
- Trained and mentored staff to improve customer service and sales techniques.
Education
Bachelor of Science - Business And Marketing
University of Dubuque
Dubuque, IA05-2020
Skills
- Customer support and relationship management
- Claims processing
- Medical analysis
- Record keeping
- Conflict resolution
- Telephone reception
Timeline
Senior Disability Representative
Sedgwick
09.2019 - 11.2025
Store Manager
Finishline
01.2017 - 2019
Bachelor of Science - Business And Marketing
University of Dubuque