Summary
Overview
Work History
Education
Skills
Certification
Phone
Timeline
Generic

Ebony Peay

Bloomfield, CT,CT

Summary

Seasoned Senior Case Manager with significant experience in managing large caseloads, developing effective case management plans, and advocating for client needs. Strengths include strong leadership skills, exceptional organizational abilities, and adept communication skills. Previous roles have involved impactful contributions such as fostering positive relationships with clients, coordinating services to meet individual needs, and ensuring compliance with legal requirements.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Sr. Case Manager

Aflac
Windsor, CT
09.2021 - Current
  • Administering Statutory Paid Leave (PFML) policies and provisions on behalf of State clients and performing various clerical duties to support the administration and operational functions of the unit.
  • Assists claimants with paid leave of absence requests and guides them through the leave process.
  • Processes all leave of absence paperwork according to established procedures and laws. Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities.
  • Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and renders the claim decision as quickly as possible

Short Term Disability Case Manager

Symetra Life Insurance Company
08.2020 - 09.2021
  • Make timely, accurate, and customer-focused STD, SDI, and AM new and ongoing claim decisions
  • Contact internal and external stakeholders to obtain relevant clinical, vocational, employer, financial, and other information
  • Compare the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and render the claim decision as quickly as possible
  • Document the claim systems in an accurate and comprehensive manner while maintaining maximum levels of efficiency
  • Prepare and disseminate articulate written and verbal communication to assorted internal and external sources.

Claims Analyst

Travel Insured International
Glastonbury, CT
11.2019 - 08.2020
  • Provide exceptional service to claimants, policy holders and travel agents who call about their claim
  • Collect information required to evaluate a claim
  • Effectively review and evaluate claims based on information received
  • Using results of the evaluation determine an appropriate resolution to the claim based on the policy provisions
  • Keep accurate records of all customer interactions and transactions; record details of inquiries, complaints, and comments as well as actions taken.

LTD Claim Specialist

MetLife Insurance
Bloomfield, CT
02.2014 - 11.2019
  • Provides exemplary customer service by processing caseloads of 90 group disability claims in a timely and accurate manner
  • Independently assess, analyze and render appropriate claim decisions pursuant to certificates
  • Clarify functional capacity through independent problem-solving measures and discretion (gathering medical, vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability
  • Communicate clearly and concisely to influence return to work, discuss terms of the certificate, and the basis for payment/non-payment
  • Communicate with a variety of constituents (for example, claimants, doctors, nurses, employers, and attorneys) to gather information relevant to assessing, analyzing and rendering decisions based on the provisions of the policy and their own discretion, with limited guidance by supervisory personnel.

Child Development Specialist I

The Village for Families and Children
Meriden, CT
07.2013 - 02.2014
  • Supported children though difficult and drastic changes within their families
  • Provided behavior management and activities programming to latency-aged children
  • Created and implemented structure plans to emotionally and behaviorally disordered children within a structured therapeutic after-school program
  • An advocate for the special needs of children and families
  • Monitored child development to ensure that normal progression was maintained
  • Performed developmental and psychosocial assessments of children and plan appropriate interventions.

Positive Youth Development Worker

The Village for Families and Children
Hartford, CT
12.2012 - 07.2013
  • Promoted and provide opportunities for youths to enhance their interest, skills and abilities in a structured environment
  • Developed Individual Educational Plans (IEP) designed to promote educational, physical, and social development in students with varying abilities
  • Planned and implemented developmental programs, based on observation of individual children
  • Ensured students retention, participation, and safety in the program.

Education

Bachelor of Arts - Psychology -

Central Connecticut State University
New Britain, CT

Skills

  • Oral & Written Communication
  • Active Listening Skills
  • Analytic/Problem Resolution
  • Student Instruction & Learning Practices
  • Proven ability to self-motivate and work independently
  • Skilled in scheduling tasks and managing time effectively
  • Proficiency with Microsoft Office and Outlook

Certification

  • Heart-Saver First Aid, CPR AED
  • Therapeutic Crisis Intervention

Phone

(860) 286-9183, (860) 888-9637

Timeline

Sr. Case Manager

Aflac
09.2021 - Current

Short Term Disability Case Manager

Symetra Life Insurance Company
08.2020 - 09.2021

Claims Analyst

Travel Insured International
11.2019 - 08.2020

LTD Claim Specialist

MetLife Insurance
02.2014 - 11.2019

Child Development Specialist I

The Village for Families and Children
07.2013 - 02.2014

Positive Youth Development Worker

The Village for Families and Children
12.2012 - 07.2013

Bachelor of Arts - Psychology -

Central Connecticut State University

Similar Profiles

CREATE PROFILE
Ebony Peay