Janet Crowder
Riverdale,GA
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Medical & Health Management, Case Manager
Georgia Power
Atlanta, GA
06.2018 - 03.2024
- Responsible for the proactive management of assigned disability claims (STD, LTD , FMLA and ADAA) by determining the length of disability through an evaluation of medical information and job duties
- Evaluate the extent of the disability by interviewing or writing to the applicant and the employer, and ongoing update
- Conduct medical investigation by phone or in writing to the applicant, employer, physicians and other medical service providers
- Write letters to inform all affected parties of decisions regarding disability cases;
- Implement return-to-work programs and negotiate with the employer;
- Evaluate health care coordination programs and rehabilitation programs to ensure they have positive effects;
- Adhere to service level agreements associated with policy holder claims;
- Respond to all telephone inquiries made by the applicant, physicians, lawyers, regarding the assessment of the claims.
- Managed onboarding process for new hires, ensuring all documentation was completed accurately and in a timely manner.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Risk Management Legal Specialist
Staffing One/Georgia Power
Atlanta, GA
04.2007 - 08.2017
- Reviewed and prepared legal documents, including contracts, pleadings, appeals and motions.
- Conducted investigations into potential violations of laws or regulations.
- Provided administrative support to attorneys in the preparation of legal documents and pleadings.
- Maintained electronic databases of all relevant legal records.
- Provided advice on procedural matters such as filing requirements or time limits for actions.
- Collaborated with other departments within the organization to ensure compliance with all applicable laws and regulations.
- Supported management of litigation cases and preparation for court presentation.
Education
Master of Science - Compliance Law
National Paralegal College
Phoenix, AZ12-2021
Skills
- Client Advocacy
- Records Management
- Family Education
- Utilization review
- Health History Documentation
- Case Management
- Data Entry and Analysis
- Documentation And Reporting
- MS Office
- Legal Research
- Legal writing
- Contract Review
- Interview skills
- Drafting memoranda
References
References available upon request.
Timeline
Medical & Health Management, Case Manager
Georgia Power
06.2018 - 03.2024
Risk Management Legal Specialist
Staffing One/Georgia Power
04.2007 - 08.2017
Master of Science - Compliance Law
National Paralegal College
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