Christine Cielak
Summary
Accountable for managing claims for those unable to work due to serious health conditions, providing prompt and appropriate benefits seen through to a safe return to work. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of NY and NJ state disability and PFML.
Overview
15
15
years of professional experience
Work History
Disability Claim Examiner
Administrative Concepts, Inc
05.2021 - Current
- Determined eligibility and whether to pend, deny or pay claim
- Communicate denial/approval information to claimants via email
- Knowledge of NY and NJ state claims, NY, MA, OR, CO, DE and MN paid leaves
- Consistently achieved monthly performance metrics and earned incentive-based rewards
- Supported new hires by sharing best practices and providing guidance on complex claims
- Knowledge of ClaimVantage
Sr. Short Term Disability Case Manager
MetLife
Aurora, USA
01.2013 - 01.2021
- Independently manage a caseload of +/- 150 claims
- Determined eligibility and whether to pend, deny or pay a claim
- Adjudicate claims to decide durational guidelines
- Manage 3rd party offsets such as; workers comp, state disability, and child support
- Communicate denial/approval information to claimants via phone and letter
- Responsible metrics: NPS scores, quality audits, decisional accuracy, return call timeliness
- Subject matter expert for projects, and rehab calculation
- Knowledge of state claims, FMLA, and LTD products
- Assist manager with special projects
Admin Asst.
Noga Foods
Schiller Park, USA
01.2011 - 01.2013
- Calculated weekly payroll hours
- Maintained inventory of office supplies and coordinated ordering as needed.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Processed invoices for payment using Quickbooks
Education
Bachelor of Arts - Business Management
Concordia University
Skills
- Strong Written and Verbal Communication Skills
- Strong Leader
- Extreme Multi-Tasker
- Ability to Prioritize
- Leave management
- Attention to detail
Timeline
Disability Claim Examiner
Administrative Concepts, Inc
05.2021 - Current
Sr. Short Term Disability Case Manager
MetLife
01.2013 - 01.2021
Admin Asst.
Noga Foods
01.2011 - 01.2013
Bachelor of Arts - Business Management
Concordia University