Summary
Overview
Work History
Education
Skills
Websites
References
Timeline
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KRYSTAL FOSTER

Rome,GA

Summary

Claims and Care Coordination Professional with over 10 years of experience in disability evaluation, workers’ compensation, and high-volume case management. Proven ability to support clinical teams while managing referrals and facilitating patient-centered care in alignment with state and federal regulations. Recognized for leveraging advanced AI tools to enhance documentation workflows, along with a strong focus on communication and detail-oriented practices. Aiming to drive continuous improvement in service outcomes within healthcare and insurance sectors.

Overview

10
10
years of professional experience

Work History

Independent Contractor (Driver)

Lyft
Rome, GA
04.2023 - Current
  • Delivered timely, professional service to 300+ passengers, resolving issues to ensure safe and efficient travel.
  • Used mobile platforms for real-time navigation and scheduling, demonstrating independent problem-solving.
  • Gathered service feedback and adapted delivery to meet rider expectations.
  • Maintained customer satisfaction through consistent communication and performance.
  • Key Accomplishment: Sustained a 98% satisfaction rating by providing reliable, responsive service.

Social Work Case Manager

State of Georgia
Rome, GA
09.2022 - 04.2023
  • Managed referrals to medical and behavioral services for at-risk individuals in coordination with care teams.
  • Conducted intake, assessed care needs, and developed support plans aligned with discharge readiness.
  • Documented communications with members and providers, ensuring continuity and regulatory compliance.
  • Handled case follow-ups and inquiries with sensitivity, professionalism, and timely resolution.
  • Maintained audit-ready records while collaborating across state departments.
  • Key Accomplishment: Completed over 90% of case reports ahead of deadlines, supporting agency-wide audit success.

Sr. Disability Representative

Sedgwick
Hilliard, OH
12.2018 - 08.2022
  • Coordinated care and benefits with providers and claimants, aligning return-to-work efforts with medical guidance.
  • Managed referral documentation, prior authorizations, and intake tasks via Sedgwick’s viaOne Express system.
  • Supported clinical staff by verifying medical restrictions, updating case notes, and resolving escalations.
  • Maintained detailed system records in compliance with HIPAA and legal standards.
  • Partnered with internal nurses to flag high-risk cases and expedite care pathways.
  • Key Accomplishment: Cut claim processing delays by 20% by standardizing provider communication and referral follow-up.

Disability Claims Adjudicator 1

Opportunities for Ohioans with Disabilities
Columbus, OH
06.2015 - 10.2016
  • Analyzed disability claims through SSA eView, assessing medical evidence for eligibility determination.
  • Scheduled consultative exams and ensured completion of required documentation.
  • Collaborated with physicians and staff to address medical complexity and finalize claim outcomes.
  • Maintained detailed, confidential records in adherence to SSA protocols.
  • Delivered clear, accurate claim results to stakeholders and support networks.
  • Key Accomplishment: Maintained a 98% decision accuracy rate, consistently exceeding adjudication benchmarks.

Education

Bachelor of Science - Criminal Justice

Indiana Wesleyan University
Marion, IN

Associate of Science - Criminal Justice

Indiana Wesleyan University
Marion, IN

Skills

  • Care coordination
  • Healthcare system navigation
  • Medical services administration
  • Healthcare documentation
  • Clinical practice operations
  • Microsoft Office Suite
  • Registration and scheduling
  • Secure Email
  • Microsoft Teams
  • Document Management Systems
  • Case management
  • Patient documentation

References

References available upon request.

Timeline

Independent Contractor (Driver)

Lyft
04.2023 - Current

Social Work Case Manager

State of Georgia
09.2022 - 04.2023

Sr. Disability Representative

Sedgwick
12.2018 - 08.2022

Disability Claims Adjudicator 1

Opportunities for Ohioans with Disabilities
06.2015 - 10.2016

Bachelor of Science - Criminal Justice

Indiana Wesleyan University

Associate of Science - Criminal Justice

Indiana Wesleyan University

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