Kayla Moore

- Coordinated final decisions, including benefit payments and denial of eligibility and accurate review of medical documentation.

- Improved claims handling processes by analyzing, tracking, troubleshooting root causes of previously managed claims.

- Maintained strict compliance with client and employee guidelines applicable to disability claims.

- Collaborated with team members to meet daily demands and handling challenging projects.

- Coordinated with supervisor and manager on regular daily and weekly reports, claim decisions, and auditing reviews.

• Developed resources such as FAQs, guides, and templates for employees seeking information on FMLA processes or looking to submit a claim themselves.
• Reduced claim approval times by implementing a more organized case management system.
• Managed caseloads efficiently, consistently meeting or exceeding performance metrics for claim resolution times and accuracy rates.
• Handled escalated claim issues, working closely with employees and managers to achieve timely resolutions.