Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Judy Astor

Miami,FL

Summary

Compassionate Registered Nurse (RN) with extensive experience in global medical case management, patient advocacy, and wellness support. Skilled in coordinating complex medical cases world-wide, ensuring safe, effective patient care, and providing clear, empathetic communication with patients and families. Licensed RN and cosmetologist, combining clinical expertise with a holistic, patient-centered approach. Passionate about functional medicine and wellness, with a proven ability to help patients feel safe, informed, and cared for.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Senior Medical Claims Specialist

Norwegian Cruise Line Holdings (NCLH)
10.2015 - Current
  • Act as lead clinical claims specialist for crew medical claims worldwide, overseeing complex medical claims from intake through recovery.
  • Educate crew on treatment progress and benefits, ensuring clarity and reassurance during recovery.
  • Maintaining HIPAA compliance while accurately documenting incident reports and claims.
  • Collaborate with shipboard medical personnel and shoreside healthcare providers within the US and globally to facilitate emergency medical evacuations and organize medical escorts for medically necessary repatriations.
  • Provide compassionate patient support, de-escalating stressful situations and ensuring families feel informed.
  • Act as the Corporate Representative in litigated cases, collaborating closely with legal counsel to identify high-profile exposure claims and implement strategies to mitigate potential risks.
  • Provide mentorship and training to new employees in medical case management and claims procedures.
  • Evaluated medical claims for accuracy and completeness and researched missing data.
  • Assessed medical claims for compliance with regulations and corrected discrepancies.

Medical Case Manager

Royal Caribbean International
08.2005 - 10.2015
  • Oversaw 150+ US & international medical cases, ensuring patient safety and recovery.
  • Coordinated care with international medical providers, including arranging emergent medical evacuations, shoreside treatment and medical repatriations.
  • Managed CBA and POEA benefit processing, including death and disability claims.
  • Supported crewmembers during medical disembarkation and repatriation procedures, ensuring ongoing communication and providing reassurance throughout the process.
  • Collaborated with shipboard medical team, port agents Supported disembarkation and repatriation processes that required prompt decision-making.
  • Trained new case managers on patient communication and documentation.
  • Improved staff performance by recreating disciplinary procedures commensurate with level of infraction.
  • Took active role in patient and family planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
  • Documented case notes daily and coordinated follow-up for seamless case management.
  • Explained medical care options to help families make informed healthcare decisions.
  • Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
  • Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.

Education

Associate Degree in Nursing -

South Florida College of Nursing
Miami
12.2024

Registered Nurse, (RN), Florida -

Multistate License Under Nurse Licensure Compact

Licensed Cosmetologist -

Florida

Case Management Certification -

Barry University
Miami, FL
01.2007

Skills

  • Patient Care & Education: Active listening, trust-building, treatment compliance
  • Safety & Compliance: Proficient in OSHA regulations, occupational health and safety protocols, infection control procedures, sanitation and disinfection practices, and universal precaution standards
  • HIPAA compliance – Managed sensitive data with strict adherence to privacy laws and company policies
  • Case Management: Global coordination, repatriations, disability evaluations, return-to-work clearances; HIP
  • Wellness & Aesthetics: Licensed cosmetologist, holistic health, client-centered approach
  • Team Collaboration: Effective communication with physicians, staff, and patients

Certification

  • Basic Life Support (BLS) – Active
  • Advanced Cardiovascular Life Support (ACLS) – In Progress

Languages

Spanish
Native or Bilingual

Timeline

Senior Medical Claims Specialist

Norwegian Cruise Line Holdings (NCLH)
10.2015 - Current

Medical Case Manager

Royal Caribbean International
08.2005 - 10.2015

Associate Degree in Nursing -

South Florida College of Nursing

Registered Nurse, (RN), Florida -

Multistate License Under Nurse Licensure Compact

Licensed Cosmetologist -

Florida

Case Management Certification -

Barry University

Similar Profiles

CREATE PROFILE