Microsoft Office (Excel, Word, Powerpoint, Outlook)
Kylen Ramey
Maricopa,AZ
Summary
Experienced Disability Claims Specialist with a strong track record in case management and regulatory compliance. Demonstrates exceptional skills in communication, empathy, and problem-solving to manage complex caseloads efficiently. Adept at supporting claimants through the claims process with a focus on accuracy and client satisfaction.
Overview
22
22
years of professional experience
Work History
Disability Claims Specialist
The Hartford
Maricopa, AZ
11.2017 - 02.2025
- Performed comprehensive assessments of medical records, facilitated claims processing, and executed claim adjudication efficiently, as well as claim adjudication using FastTrack, SharePoint, Official Disability Guidelines (ODG), and Excel benefit spreadsheets.
- Ensured compliance with disability income regulations, and coordinated with medical professionals.
- Comprehensive assessment of medical records for benefit determination. Used analysis of proper ICD-10, ICD-9 codes, Attending Physician Statement (APS), electronic medical records (EMR), Functional Capacity Evaluation (FCE) records, and submitted requests for Independent Medical Examination to facilitate claims processing.
- Reviewed Social Security Disability Income (SSDI) benefits, Social Security income, and COLA offsets to ensure compliance.
- Applied knowledge of the Family Medical Leave Act (FMLA), the Americans with Disabilities Act (ADA), return-to-work accommodations, and vocational rehabilitation (VR) principles.
- Coordinated with medical professionals to manage electronic health record (EHR) documentation.
- Analyzed client information to determine eligibility criteria.
- Managed case files using Ability Advantage, FINEOS Claims Management, and Ultera Claim Management systems.
Account Executive
Henderson Insurance
Tempe, AZ
10.2015 - 10.2017
- Managed client accounts while developing tailored insurance solutions to meet diverse needs.
- Collaborated with underwriters to assess risks and determine suitable coverage options.
- Conducted regular meetings with clients to review policies and address inquiries.
- Streamlined communication between clients and internal teams, enhancing service delivery.
- Prepared detailed proposals outlining services and benefits for prospective clients.
Lead Account Manager
Homesite Insurance
Phoenix, AZ
07.2012 - 09.2014
- Cultivated client relationships to enhance satisfaction and retention.
- Trained new account managers on best practices and operational processes.
- Analyzed customer data to identify trends and improvement opportunities.
- Implemented efficiency strategies for managing customer accounts, reducing costs.
- Oversaw daily operations related to customer accounts, including billing and collections.
Client Manager
USAA General Agency
Tampa, FL
08.2003 - 06.2012
- Underwrote Property and Casualty policies, completed eligibility assessments, and analyzed inspection reports to assess risk.
- Established strong client relationships as a trusted advisor on disability claims and risk management.
- Reviewed policy documents for accuracy and compliance with regulations.
- Conducted training sessions on new insurance products and industry changes.
- Resolved client inquiries promptly to enhance customer satisfaction and retention.
- Implemented process improvements to streamline operations and reduce turnaround times.
Education
Bachelor of Arts - Business Administration And Management
University of Texas At Tyler
Tyler, TX06-1997
Skills
- Teamwork and collaboration
- Case management
- Customer relationship management
- Process improvement
- Client communication
- Attention to detail
- Problem solving
- Medical terminology expertise
- Time management capabilities
- Strong communication
- Documentation proficiency
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Personal development programsWork-life balanceCompany CultureHealthcare benefitsWork from home optionSoftware
Tableau
Oracle
Power BI knowledge
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Interests
Writing/blogging
Volunteering / Community Outreach
Creative Arts
Music
Cooking
Quote
Don't be distracted by criticism. Remember, the only taste of success some people have is when they take a bite out of you.
Zig Ziglar
Timeline
Disability Claims Specialist
The Hartford
11.2017 - 02.2025
Account Executive
Henderson Insurance
10.2015 - 10.2017
Lead Account Manager
Homesite Insurance
07.2012 - 09.2014
Client Manager
USAA General Agency
08.2003 - 06.2012
Bachelor of Arts - Business Administration And Management
University of Texas At Tyler
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