Daniel Glendenning

PRIMARY PURPOSE: To manage a caseload of Long Term Disability(LTD) cases that are in longer duration with evolving medical conditions. To have meaningful transparent conversations with customers and clinical partners to gather information relevant to each claim. Make timely, accurate, and fair decisions on claims as they relate to the policy.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES:

• Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint
• Find customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented
• Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis
• Ask focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies
• Adhere to standard timeframes for processing mail, tasks and communications
• Clearly articulate claim decisions both verbally and in written communications
• Understand Corporate Compliance, Policies and Procedures and best practices
• Delivered exceptional customer service to policyholders by communicating important information and forming rapport with customers and clients.

PRIMARY PURPOSE: Manage 150-200 Short Term Disability claims and determine benefits due pursuant to a disability plan and to ensure the ongoing processing of claims with more than a 97% accuracy rate.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES:

• Makes claim determinations to approve disability claims or makes recommendation to team lead to deny claims based on disability plan provisions
• Review medical information as it relates to disability plans and make timely decision on benefits.
• Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.
• Refers cases as appropriate to team lead; maintains professional client relationships.

PRIMARY PURPOSE: To Manage 200-250 reported Family Medical Leave (FMLA) Claims at any given time; to make determinations based on state and federal regulations with more than a 97% accuracy rate.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES:

• Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
• Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
• Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established.
• Communicates decisions and on-going expectations with claimants and clients.
• Maintains professional client relationships.

PRIMARY PURPOSE: Assisted the store manager in executing store operations during scheduled shifts.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES:

• Managed inventory of a high traffic location completed $40,000 in sales weekly
• High sum Cash and transaction management
• Resolved customer complaints and issues and offered thoughtful solutions to maintain customer satisfaction
• Established effective employee schedules and delegated tasks to take advantage of individual abilities and meet expected demands
• Built performance-oriented culture with satisfied, hardworking employees by clearly highlighting employee success and developing leaders from within

PRIMARY PURPOSE: Prepared and served coffee, food and other beverages to customers at a high volume drive through location.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES:

• Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
• Memorized in excess of 100 recipes for specialty coffee beverages and seasonal offerings.
• Used POS system to accurately enter orders and process payments.
• Recommended products based on solid understanding of individual customer needs and preferences.
• Monitored supply levels at counter and maintained customer areas to meet typical demands.