Christopher Rush
Columbus,OH
Summary
Goal‑oriented professional with a strong investigative foundation and experience working with diverse communities. Equipped with a Master’s degree and skilled in gathering information, documenting findings, and communicating clearly in fast‑paced environments. Brings strong analytical judgment, case‑handling experience, and a commitment to delivering accurate, timely, and customer‑focused resolutions.
Overview
14
14
years of professional experience
Work History
Police Officer Recruit
Columbus Police Training Academy
08.2025 - 12.2025
- Demonstrated strong ethical judgment and adherence to compliance protocols
- Developed skills in documentation, situational assessment, and clear communication under pressure
- Engaged in rigorous coursework surrounding the U.S. Constitutional Amendments, industry specific terminology and jargon, and ethical protocols for police and community engagement
- Participated in extensive psychomotor skills testing to ensure safe vehicle use under high-stress situations
- First-aid and CPR Certified
- Built physical strength and endurance through the participation of paramilitary physical training to keep fit and perform job duties productively
- Built rapport with diverse individuals and maintained professionalism in sensitive situations
Disability Claims Specialist
Sedgwick
02.2020 - 07.2025
- Managed 110–130 disability claims simultaneously, ensuring accuracy, compliance, and timely determinations while working remote progressing to hybrid work enviornment
- Reviewed medical documentation and coordinated with nurses, HR partners, and providers to support claim decisions
- Proficient at the use of ICD-10 Codes and CPT Codes in accordance with the Official Disability Guidelines
- Explained claims processes, next steps, and determinations to employees with clarity and professionalism while documenting claims transactions and activities
- Coordinated with contracting department to resolve payer issues
- Ensure disability claims get paid correctly
- TPA on behalf of an assigned client(s) and work closely with managers and human resources to create working relationships
- Assist team members with tasks
- Consult with on-duty nurses to assist with determinations surrounding medical documentation
- Start initial development for claim status on employees which includes explaining the claims process
- Inbound and outbound calls to employees and medical providers
- Inform employer and employee of decision via letter, email, and phone
- Maintained strict confidentiality of medical and financial information
- Identified payer discrepancies and collaborated with contracting teams to resolve issues
- Issue recertification paperwork when necessary if FMLA or if extensions are needed
- Strongly adept at conflict resolution and solution-oriented conversation
- Navigate through state laws including PFL/PFML, PDL, CFRA
- Administered ERISA clients and followed regulatory guidelines
- Assist employees with return-to-work procedures including ADA accommodations, reduced work schedule, or full-duty documentation
- Effectively and accurately managed a block of State Paid Leave, and Absence claims
Customer Service Specialist
VSP
07.2017 - 02.2020
- Processed and adjusted vision claims using Proclaim
- Interacted with 60-80 members/doctors via multi-line phone system on a daily basis
- Use Finesse and CC portal as operating program for viewing benefits
- Resolved customer issues by researching benefits, explaining coverage, and negotiating reimbursement amounts
- Documented member and provider concerns to support process improvements
- Adjust and negate claims in Proclaim for members and doctors
- Built empathetic relationships and consistently exceeded service quality expectations
- Negotiate reimbursement amounts for out-of-network claims
- Enroll members into plans if VSP administers plan
- Document member and doctor complaints to improve company processes and what customer wants
- Change passwords for both members and clients
- Explain billing procedures to doctors on submitting claims
Provider Data Specialist
UnitedHealth
03.2016 - 07.2017
- Ensured accuracy of provider data to support claims processing and network integrity
- Submits PhyCon for necessary updates in Network Database/NDB
- Open MyCoach for job aids/resources to assist with ongoing change in processes
- Maintained high production and quality standards in a fast‑paced environment
Fraud Prevention Specialist
JPMorgan Chase
12.2011 - 12.2015
- Investigated suspicious transactions by analyzing account activity, interviewing stakeholders, and reviewing evidence
- Identified fraud patterns and anomalies using tools such as CA, CMM, Falcon, LexisNexis, and DARTViewer
- Documented findings in detailed case reports and communicated outcomes to clients and internal partners
- Restricted or placed holds on accounts to prevent loss and protect customers
- Collaborated with bankers and customers to resolve fraud cases and ensure accurate outcomes
- Reviewed debit‑card transactions and check deposits to detect fraudulent activity, verify deposit accuracy and fund sources, and resolve suspicious or irregular account behavior
- Communicated with on average 60-80 customers daily on a multi-line phone system in a fast-paced environment
Education
Master’s Degree - Political Science
Ohio University
Athens, Ohio01-2012
Bachelor’s Degree - Political Science and Philosophy
Ohio University
Athens, Ohio01-2010
Skills
- Claims adjudication
- Complaint resolution
- Calm demeanor
- Verbal and written communication
- Active listening
- Follow-up skills
- Multi-task management
- De-escalation techniques
- Strong analytical skills
- Disability claims process
- Documentation proficiency
- Adaptability and flexibility
- Fraud detection
- Decision-making skills
- Critical thinking
- Investigate claims
- Task prioritization
- Attention to detail
- Fraud patterns
- Research skills
- Compliance & regulatory awareness
- Claims intake and issue resolution
- Professionalism, integrity, and accountability
- Managing sensitive or confidential information
Timeline
Police Officer Recruit
Columbus Police Training Academy
08.2025 - 12.2025
Disability Claims Specialist
Sedgwick
02.2020 - 07.2025
Customer Service Specialist
VSP
07.2017 - 02.2020
Provider Data Specialist
UnitedHealth
03.2016 - 07.2017
Fraud Prevention Specialist
JPMorgan Chase
12.2011 - 12.2015
Master’s Degree - Political Science
Ohio University
Bachelor’s Degree - Political Science and Philosophy
Ohio University
Tools
- CaseWorks
- Proclaim
- CA/CMM/Falcon/Taser
- LexisNexis
- DARTViewer
- OneView
- Finesse
- CC Portal
- Microsoft Office Suite
- Multi-line phone system