Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lacey Kesler

Kasson,MN

Summary

Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.

Overview

21
21
years of professional experience

Work History

Claims Generalist Associate

Progressive Insurance
07.2023 - Current
  • Facilitate productive relationships with internal and external partners such as adjusters, attorneys, and MRR's involved in the resolution of complex cases
  • Accurately and efficiently resolve coverage and liability investigations
  • Assess and triage vehicle damage appropriately to determine the most efficient course of action to address vehicle damages
  • Assess and appropriately triage injury for involved parties
  • Create scene diagrams to accurately depict liability
  • Work with lenders to obtain loan pay off amounts, as well as coordinate the exchange of total loss documents
  • Set title draft exchange appointments
  • Set proper method of inspection for vehicles
  • Show empathy for individuals going through difficult circumstances
  • Calculate loan NPO
  • experience as a NCRT reservist from October 2024-November 2024
  • Adjust and pivot as work load demands change and evolve
  • Experienced in working claims out of multiple states
  • Ability to identify correct salvage processes for each state
  • Licensed in Florida
  • Trained in NCRT total loss handling
  • Calculate and issue payments timely and accurately
  • Recognize discrepancies
  • Complete effective recorded statements
  • Review vehicle and property damage
  • Maintain calm and professional in high stress situations
  • Problem solve unique claim situations that arise

Eligibility Specialist

Olmsted County
04.2020 - 06.2023
  • Resolved discrepancies with client applications to verify eligibility.
  • Communicated with individuals from various cultures and backgrounds on application process.
  • Processed and certified documents for accuracy and compliance with government regulations.
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
  • Reviewed applications for different aid programs and determined which qualification criteria for individuals.
  • Scheduled appointments with applicants to gather information and explain benefits processes.
  • Provided case management services and carried consistent caseload of over 400.
  • Specialized in Medical Assistance programs

Human Services Technician, Behavior Modification Assistant

State Of Minnesota
10.2014 - 10.2020
  • Adhered to strict HIPAA laws and site-specific policies to uphold privacy and provide best outcomes possible.
  • Kept and established comprehensive case notes to support proper documentation and record retention.
  • Tutored diverse populations
  • Understood and recognized signs of physical and substance abuse patterns and other debilitating circumstances.
  • Assessed barriers, strengths and needs of each individual and worked quickly to remediate.
  • Established positive relationships with individuals and assessed goals, working hard to address specific needs and tailor services to suit them.
  • Worked with others to manage numerous competing interests simultaneously and delegate accordingly to maximize safety of staff and clients.
  • Utilized positive reinforcement to maximize desired behavior outcomes.
  • Crafted Behavioral Intervention Plans for individuals.
  • Coordinated services with medical and community resources.
  • Provided job coaching

Child Protection Case Aide

Minnesota Prairie County Alliance
06.2015 - 09.2017
  • Assisted in conducting needs assessments to identify key areas of service needs.
  • Developed and maintained relationships with community organizations and agencies.
  • Facilitated outreach activities to build community awareness.
  • Facilitated communication between clients and other service providers.
  • Assisted with creating safety plans, utilizing harm reduction approach.
  • Administering drug and alcohol testing
  • Preparing court documents
  • Supervising visitation
  • Kinship studies team advocate/trainer
  • Instructed car seat safety to Child Protection staff to ensure adherence to child safety laws and guidelines.
  • Improved clients' coping with routine life activities such as food budgeting and rental payments.
  • Coordinated Eligibility Workers to provide resources to clients/families.
  • Completed welfare checks.
  • Respond to emergency calls from law enforcement.

PCA, Client Resource Coordinator, Pharmacy Technic

Mayo Clinic
05.2004 - 11.2013
  • PCA: Assisted patients with ADL's
  • Assisted with psychiatric intake and discharge, including 72 hour holds
  • Recorded temperature, blood pressure, pulse, or respiration rate as directed by medical or nursing staff.
  • Provided behavioral intervention
  • Recognized and reported abnormalities or changes in patients' physical and mental health status to nursing staff
  • Assisted with group therapy and activities.
  • Responded to patient emergencies.
  • Engaged with patients by motivational interviewing.
  • Evaluated suicide risk with RFD/RFL indexes.
  • Maintained accurate notes in patient chart following.
  • Ensured HIPAA compliance.
  • Assist patients in utilizing established coping methods when needed.
  • Client Resource Coordinator: respond to client inquires via phone, chat, email, and fax.
  • Assist labs with locating missing specimens.
  • Notify providers of critical lab values.
  • Assist providers with test selection utilizing correct diagnosis codes, specimen requirements and test result interpretation.
  • Provide billing estimate and CPT code information to clients/
  • Assist with minor IT issues.
  • Act as liaison between laboratory and client to resolve sampe issues.
  • Provide excellent customer service while maintaining HIPAA compliance.
  • Submitted laboratory testing supply orders for client facilities.
  • Pharmacy tech: Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Counted and labeled prescriptions with correct item and quantity.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Collected co-payments or full payments from patients.
  • Counted, measured and compounded medications following standard procedures.

Education

No Degree - Social Work

Winona State University
Winona, MN

High School Diploma -

Kasson-Mantorville Senior High School
Kasson, MN
06.2003

Skills

  • Extensive Customer Service Experience
  • Skilled in medical terminology
  • Application Review
  • Verification process
  • Excellent Communication and Documentation
  • Ex-Parte Renewals
  • Eligibility determination
  • Working with Diverse Populations
  • Microsoft Office
  • Maxis, METS, MMIS, SMI, AVS, MEC2, CaseWorks, SSIS, ISDS, Work Number, SMRT, SAVE, DHS SIR
  • Maxis healthcare, SNAP, EA
  • HIPAA laws
  • Applicant/Customer Interviewing
  • Organization and Time Management
  • Teamwork and Collaboration
  • Conflict resolution
  • Liability determination
  • Coverage investigations

Timeline

Claims Generalist Associate

Progressive Insurance
07.2023 - Current

Eligibility Specialist

Olmsted County
04.2020 - 06.2023

Child Protection Case Aide

Minnesota Prairie County Alliance
06.2015 - 09.2017

Human Services Technician, Behavior Modification Assistant

State Of Minnesota
10.2014 - 10.2020

PCA, Client Resource Coordinator, Pharmacy Technic

Mayo Clinic
05.2004 - 11.2013

No Degree - Social Work

Winona State University

High School Diploma -

Kasson-Mantorville Senior High School

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Lacey Kesler