To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. History of working with substance abuse and mental health clients who have been adjudicated guilty. Knowledge of treatment modalities and Kentucky Revised Statutes. Enjoys writing technical reports and good at streamlining documentation. Familiar with the Chicago Manual of Style, 17th Edition and the APA Format. Skilled at data verification, research and document review. Good at active listening and enjoys a collaborative work environment. Demonstrates a strong foundation in Microsoft Office Suite and a commitment to professional development, learning and training. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Capable of managing multiple priorities with a positive attitude, although a slightly sarcastic sense of humor that is not intended to offend anyone. Willingness to take on added responsibilities to meet goals and will work until a goal is finished. Service-oriented; skilled at applying creative approaches to solving problems. Good organizational and communication skills with a desire to learn grant writing.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Claims Examiner
Colonial Claims
07.2021 - Current
Handled sensitive information with discretion, ensuring confidentiality of personal details for claimants throughout the claims examination process.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
Examined photographs and statements.
Collaborated with insurance adjusters to expedite claim settlements, ensuring fair resolutions for all parties involved.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Examined claims forms and other records to determine insurance coverage.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Social Services Clinician
Commonwealth Of Kentucky
12.2020 - 06.2021
Led workshops for community members on topics related to mental health and wellness, increasing public knowledge about available services.
Provided supervision to junior clinicians, offering guidance on best practices and fostering professional development.
Contributed to the development of agency policies and procedures that supported high-quality service delivery.
Provided support for families in crisis, addressing immediate needs and connecting them with appropriate resources.
Implemented evidence-based interventions tailored to the unique needs of each client, improving overall wellbeing.
Assessed clients'' strengths and weaknesses to develop tailored interventions that addressed their specific challenges, promoting self-sufficiency and personal growth.
Conducted ongoing evaluations of client progress, adjusting treatment plans as needed to facilitate positive change.
Maintained accurate case records, ensuring compliance with agency policies and regulatory guidelines.
Coordinated case management activities for assigned caseloads, streamlining service delivery processes while prioritizing client needs.
Participated in continuing education opportunities to stay current on industry trends and improve clinical skills.
Delivered crisis intervention services as needed, stabilizing situations and providing referrals for additional support when necessary.
Facilitated group therapy sessions for clients facing various challenges, promoting healing and personal growth.
Collaborated with multidisciplinary teams to ensure coordinated care and optimal outcomes for clients.
Improved client outcomes by conducting comprehensive assessments and developing individualized treatment plans.
Developed therapeutic rapport with clients to foster trust and open communication during counseling sessions.
Documented data and completed accurate updates to case records.
Certified Psychological Associate
Commonwealth Of Kentucky Dept. Of Juvenile Justice
03.1998 - 12.2020
Mentored new Psychological Associates entering the field, sharing valuable insights gained from personal experience and professional development.
Contributed to staff development by leading workshops on psychological topics, enhancing team members'' understanding of mental health issues.
Strengthened community partnerships by participating in outreach events focused on promoting mental health awareness and reducing stigma surrounding psychological services.
Improved patient satisfaction levels with empathetic communication and active listening skills.
Developed individualized therapeutic goals in collaboration with clients, creating realistic objectives that facilitated measurable progress over time.
Supported families with navigating complex mental health systems, connecting them with appropriate resources and services when necessary.
Streamlined documentation processes by maintaining accurate records of client sessions, diagnoses, and treatment plans.
Evaluated program effectiveness by analyzing outcome data from clinical treatments, identifying areas needing improvement or modification based on results achieved thus far.
Enhanced client progress by implementing evidence-based psychological assessments and interventions.
Addressed diverse client needs through cultural competency training and incorporating multicultural perspectives into therapeutic approaches.
Expedited diagnosis timelines by conducting thorough clinical interviews to gather relevant background information on clients.
Assisted in the development of facility policies regarding ethical considerations for client confidentiality and privacy protection measures within the practice setting.
Promoted a supportive environment for group therapy sessions, encouraging open dialogue among participants for effective processing of shared experiences.
Facilitated positive outcomes in clients by providing tailored psychoeducational support and resources.
Increased treatment effectiveness by collaborating with multidisciplinary teams for comprehensive care.
Provided crisis intervention services to stabilize clients experiencing acute mental health episodes when needed.
Increased client retention rates with responsive communication practices, promptly addressing concerns and providing ongoing support throughout the treatment process.
Managed caseloads efficiently, prioritizing urgent cases while maintaining consistent follow-up with long-term clients.
Optimized therapeutic approaches by staying informed of current research, incorporating cutting-edge techniques into treatment plans when appropriate.
Elevated the quality of care provided through ongoing professional development and staying current on industry best practices.
Identified psychological, emotional or behavioral issues and diagnosed disorders using information obtained from evaluation techniques.
Updated records and prepared reports to outline program actions, results, and recommended improvements.
Interacted with clients to assist in gaining insight, defining goals, and planning action to achieve effective personal development and adjustment.
Counseled individuals and groups regarding problems such as stress, substance abuse or family situations to modify behavior to improve personal adjustment.
Collaborated with other healthcare professionals to coordinate care plans and implement continuity of care.
Evaluated dynamics of different personnel groups through range of planned activities and programs.
Defined core problems and determined key strategies for investigating and remediating concerns.
Facilitated group therapy sessions to provide interactive and supportive environment for clients to process experiences and learn new coping skills.
Led psychoeducational classes, workshops and seminars.
Offender Rehabilitation Specialist
Commonwealth Of Kentucky Dept. Of Corrections
06.1997 - 02.1998
Followed all company policies and procedures to deliver quality work.
Developed strong client relationships through consistent communication and attentive service.
Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Interpreted clients' needs and introduced services to fit specific requirements.
Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs.
Oversaw daily operations of a busy office environment, ensuring tasks were completed efficiently and accurately.
Built and managed relationships with key clients and partners to drive growth.
Collaborated with cross-functional teams to achieve project goals on time and within budget.
Education
Master of Arts - Psychology
Morehead State University
Morehead, KY
05.1994
Bachelor of Arts - Psychology And Government
Morehead State University
Morehead, KY
05.1992
Skills
Written and verbal communication; active listening skills
Data Verification
Customer service and support
Computer skills; Microsoft Office Suite
Report writing experience
Knowledge of Substance Abuse and Mental Health Treatment; primarily with adjudicated youth and their families and/or incarcerated adults
Organization and Time Management
Ability to work collaboratively
Flexibility and willingness to learn new skills
Proposal management
Strong research skills
Proposal Development and Presentation Development
Certification
Resident Independent Adjuster Property License
DOID:118295
NPNID:20201552
FCN:0010958521
Certified Psychological Associate
#323:1994
Timeline
Claims Examiner
Colonial Claims
07.2021 - Current
Social Services Clinician
Commonwealth Of Kentucky
12.2020 - 06.2021
Certified Psychological Associate
Commonwealth Of Kentucky Dept. Of Juvenile Justice