Karima Laurenceau

• Remedied issues quickly and effectively through active listening, conflict resolution and dynamic communication skills.
• Consulted and coordinated with health care team to assess, plan, implement and evaluate patient care plans.
• Educated patients on such topics as nutrition and medication side effects.
• Assisted patients with dressing, eating and bathing and encouraged patients to perform basic needs independently to promote self-esteem.

Made timely, accurate, and customer-focused Short term disability new and ongoing claim decisions.

Reached out to obtain relevant clinical information. 

Compared  information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and rendered the claim decision as quickly as possible. 

Documented the claim systems in an accurate and comprehensive manner while maintaining maximum levels of efficiency.

 Prepared and disseminated articulate written and verbal communication to assorted internal and external sources. 

Prepared, updated, and utilized a claim management plan to attain the most appropriate outcome. 

Remained in full compliance with regulatory requirements. Demonstrated an above average level of proficiency in STD product and claim administration techniques.

Remained fully compliant with operational standards.

Met or exceeded claim team operational metrics

Maintained a superior level of genuine caring and empathetic customer service throughout all interactions.

• Developed rapport with patients to create safe and trusting environment for care.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Maintained confidentiality of patient data and condition at all times to safeguard health information.
• Performed patient mobility services by turning, lifting, moving and re positioning patients.
• Obtained patient vital signs and observed patient conditions to record progress in daily chart.
• Monitored progress and documented any patient health status changes to keep healthcare team updated.
• Updated documentation and reports detailing patient activities, care actions and hospital determinations.
• Assisted disabled clients in any way necessary to facilitate independence and well-being.