Jessica Sparks
Medford,MA
Summary
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
16
16
years of professional experience
Work History
Technical Claims Specialist I
State Auto/Liberty Mutual
Boston, MA
03.2023 - 01.2024
- Identified trends in rejected claims that could indicate system errors or fraudulent activity.
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Compiled data from multiple sources for reporting purposes.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
- Assisted with filing appeals on denied claims with insurance companies.
- Worked closely with Human Resources department to ensure workers compensation claims were handled properly.
- Applied knowledge of applicable laws governing workers compensation cases.
- Oversaw workers compensation insurance and related workplace programs and compliance.
Workers Compensation Manager
Town of Arlington,MA
Arlington , MA
11.2018 - 03.2023
- Ensured compliance with regulatory requirements and industry standards.
- Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
- Created monthly reports for senior management summarizing operational performance metrics.
- Ensured compliance with industry regulations and company policies.
- Ensured compliance with all applicable laws, regulations, industry standards.
- Monitored budgets and expenditures to ensure cost-effectiveness while maintaining quality standards.
- Maintained up-to-date records of employee attendance, payroll information, vacation requests.
- Negotiated contracts and agreements with vendors and suppliers to reduce costs.
- Managed annual budgeting and forecasting, optimizing resource allocation.
Disability Case Manager
PERAC
Somerville , MA
01.2013 - 06.2018
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Utilized various software and tools to streamline processes and optimize performance.
- Assisted with customer requests and answered questions to improve satisfaction.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Worked effectively in team environments to make the workplace more productive.
- Maintained updated knowledge through continuing education and advanced training.
- Educated clients on disability rights, benefits, entitlements and self-advocacy skills.
- Maintained accurate documentation of all case activities according to agency policies and procedures.
- Handled administrative procedures to meet objectives set by boards of directors or senior management.
Deputy Sheriff
Essex County Sheriff's Department
Middleton , MA
11.2007 - 01.2013
- Served court documents and completed civil process duties.
- Assisted in special investigations and crime prevention programs.
- Provided administrative support and research for civil litigation and civil proceedings.
- Maintained and managed customer files and databases.
- Handled office scheduling and made notes for deadlines, motions, and other important dates.
- Managed accounts and client records of clients, observing confidentiality, and extreme discretion.
Education
Certificate - Suffolk Certificate in Local Government Leadership
Suffolk University
Boston, MA04-2023
Certificate - Certificate in Municipal Finance Management
Suffolk University
Boston, MA04-2022
Bachelor of Arts - Leadership And Development
Bay Path University
Longmeadow, MA05-2017
Skills
- Settlement determinations
- Compliance Management
- Coverage assessments
- Documentation Review
- Verbal Communication
- Claims Investigation
- Claims Processing
- Microsoft Office
- Customer Service
- Eligibility Determination
- New Policies Processing
- Teamwork and Collaboration
- Reporting skills
- Liability management
- File Management
- Legal documentation and reporting
- MS Office proficient
- Legal Compliance
Timeline
Technical Claims Specialist I
State Auto/Liberty Mutual
03.2023 - 01.2024
Workers Compensation Manager
Town of Arlington,MA
11.2018 - 03.2023
Disability Case Manager
PERAC
01.2013 - 06.2018
Deputy Sheriff
Essex County Sheriff's Department
11.2007 - 01.2013
Certificate - Suffolk Certificate in Local Government Leadership
Suffolk University
Certificate - Certificate in Municipal Finance Management
Suffolk University
Bachelor of Arts - Leadership And Development
Bay Path University
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