Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
DISABILITY REPRESENTATIVE SR
SEDGWICK/LOWES
GA
06.2021 - Current
Analyzes, approves, and authorizes assigned claims and determines benefits due pursuant to a disability plan
Communicates with the claimant's providers to set expectations regarding return to work
Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets
Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities
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.
PATIENT SERVICE ASSOCIATE
MATERNAL FETAL DIAGNOSTIC CENTER
Austell, GA
12.2020 - 06.2021
Review the charts and insurance referrals/authorizations
Assist the physicians and/or administrators in all business and patient care responsibilities
Greet, direct, and assist large numbers of visitors and refers visitors to various areas