Crystal Gallo
West End,NC
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Long-Term Disability Case Manager
Lincoln Financial Group
07.2021 - Current
- Conducted comprehensive case evaluations to make informed decisions on claim approvals or denials, ensuring compliance with policy guidelines.
- Provided empathetic support to clients during challenging times, fostering trusting relationships while navigating through the disability process.
- Enhanced client satisfaction by efficiently managing long-term disability cases and providing timely updates.
- Managed sensitive client information with utmost confidentiality, adhering to data protection regulations and maintaining a professional demeanor.
- Facilitated clear communication between clients, healthcare providers, and legal representatives for seamless case management experience.
- Coordinated with multidisciplinary teams to address complex cases, employing critical thinking skills to devise effective solutions.
- Reduced claim processing time by streamlining case management procedures and utilizing effective communication channels.
Senior Service Tele App
Lincoln Financial Group
02.2019 - 03.2020
- First point of contact with clients to obtain essential information to complete applications for Life insurance well fostering a results-driven culture focused on delivering exceptional customer experiences.
FMLA Claims Specialist
Lincoln Financial Group
11.2018 - 02.2019
- Developed relationships with medical providers, expediting requests for necessary documentation related to FMLA claims.
- Supported colleagues in navigating difficult cases or complex situations involving multiple parties or overlapping leave policies.
- Ensured compliance with federal and state regulations by staying up-to-date on the latest changes to FMLA laws and guidelines.
- Performed thorough investigations into potential cases of FMLA abuse or fraud, protecting both employer interests and employee rights under the law.
- Enhanced accuracy of FMLA eligibility determinations through thorough research and analysis of employee records.
Recovery Associate
Lincoln Financial Group
11.2018 - 02.2019
- Provided exceptional customer service while negotiating payment arrangements within company guidelines.
- Prioritized workload strategically to maximize productivity and achieve set targets for account recoveries.
- Utilized various methods of contact, including phone calls, emails, and letters to reach clients effectively.
- Contributed to a positive work environment by maintaining a professional attitude during challenging situations.
Premium Auditor
Liberty Mutual
11.2016 - 11.2018
- Enhanced audit accuracy by conducting thorough premium audits and analyzing financial records.
- Provided exceptional customer service by maintaining open communication lines with clients throughout the entire auditing process.
- Ensured proper documentation was maintained during all phases of the audit process to support findings when necessary.
- Achieved high levels of accuracy in calculating premiums owed using established rating plans and classifications guidelines.
Underwriter Assigned Risk
Liberty Mutual
11.2012 - 11.2016
- Conducted regular audits of underwriting files to ensure accuracy, compliance, and consistency in decision-making processes.
- Identified and resolved application discrepancies for accuracy and compliance with relevant regulations.
- Evaluated applications to determine insurance coverage and appropriate risk classifications.
Bill Payment Specialist
Liberty Mutual
12.2005 - 11.2012
- Followed all company policies and procedures to deliver quality work.
- Developed strong client relationships through consistent communication and attentive service.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Earned recognition as a top performer consistently exceeding targets throughout my tenure as a specialist in the field.
Education
Bachelor Of Applied Science - Business Administration And Management
Southern New Hampshire University
Hooksett, NHMaster Of Business - Organizational Leadership
Southern New Hampshire University
Hooksett, NH05.2015
Skills
- Medical Knowledge
- Strong Organization
- Client Advocacy
- Documentation proficiency
Certification
LOMA Designations
- ACS - Associate Customer Service
- FLMI Level 1
Timeline
Long-Term Disability Case Manager
Lincoln Financial Group
07.2021 - Current
Senior Service Tele App
Lincoln Financial Group
02.2019 - 03.2020
FMLA Claims Specialist
Lincoln Financial Group
11.2018 - 02.2019
Recovery Associate
Lincoln Financial Group
11.2018 - 02.2019
Premium Auditor
Liberty Mutual
11.2016 - 11.2018
Underwriter Assigned Risk
Liberty Mutual
11.2012 - 11.2016
Bill Payment Specialist
Liberty Mutual
12.2005 - 11.2012
Bachelor Of Applied Science - Business Administration And Management
Southern New Hampshire University
Master Of Business - Organizational Leadership
Southern New Hampshire University
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