Lekiya Carden
Case Specialist III, STD
Owings Mills,MD
Summary
Motivated professional with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure, embraces adapting to new situations and challenges to best enhance organizational brand.
Overview
9
9
years of professional experience
Work History
Case Specialist III, STD
Sun Life Financial
03.2023 - Current
- Streamlined internal processes by identifying inefficiencies and proposing actionable solutions for improvement.
- Developed expertise in specialized areas of casework, becoming a go-to resource for colleagues seeking advice or guidance.
- Maintained strict confidentiality of sensitive information, adhering to legal regulations and company policies.
- Assisted in training new Case Specialists to ensure consistent quality of work across the team.
- Exceeded performance expectations consistently by meeting deadlines while maintaining high-quality work standards.
- Enhanced team collaboration with regular communication, sharing of resources, and support for colleagues.
- Demonstrated adaptability and flexibility when handling challenging cases, employing creative problem-solving techniques to achieve successful outcomes.
- Stayed up-to-date on State laws and licensing requirements to complete accurate and efficient reviews.
- Worked closely with applicants to determine eligibility and verify accuracy and integrity of application data.
- Performed routine data entry or document management.
Disability Leave Specialist
Amazon
02.2021 - 01.2023
- Manage all case level Leave of Absence claims.
- Manage both intermittent and continuous leaves.
- Manage and process FMLA, State specific, company specific along with STD claims.
- Ensuring that state offset properly processed on applicable claims.
- Analyze and process FMLA documentation. Along with verification of ICD-10 codes to ensure proper time allotted on both leave and claim leave.
- Ensure correspondence sent out timely for compliance to all parties.
- Process return to work along with opening of Accommodation case (if applicable).
- Manages all case level for leave of absence claims for 150-200 employees
- Work with HRBPS and managers to ensure a smooth transition from start to end of leave.
- Handle complex case management by completing manager escalation.
Disability & Leave Examiner
The Standard Insurance Co.
04.2020 - 02.2021
- Maintained organized filing system for client records, providing complete documentation of all interactions.
- Process FMLA and STD claims. Along with state specific leaves and claims.
- Managing different clientele cases for company specific leaves.
- Process of documentation timely to all parties within compliance time.
- Process return to work plans along with Accommodation needs.
- Ensuring proper payout of disability benefits, Personal Time Off and Vacation Time Off payout request.
- Apply appropriate contract policy to company specific leaves. To ensure proper eligibility and payout for claims.
Senior Leave Specialist
The Standard Insurance Co.
12.2016 - 04.2020
- Review and process documentation to decision all levels for Leave of Absence.
- Managed both intermittent and continuous leaves.
- Manage FMLA, company specific and state specific leaves.
- Senior leave specialist that managed pipeline and dealt with designated company guidelines.
- Assisted in training for specific companies. As well as direct contact for training and complIance of company guidelines.
Customer Service Representative
Anthem Blue Cross Blue Shield
05.2015 - 12.2016
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Mentored new employees on procedures and policies to maximize team performance.
Education
High School Diploma -
Tuckahoe High School
Eastchester, NYHuman Development and Family Studies
University of Maryland Eastern Shore
Princess Anne, MDSkills
Applicant Qualification
Timeline
Case Specialist III, STD
Sun Life Financial
03.2023 - Current
Disability Leave Specialist
Amazon
02.2021 - 01.2023
Disability & Leave Examiner
The Standard Insurance Co.
04.2020 - 02.2021
Senior Leave Specialist
The Standard Insurance Co.
12.2016 - 04.2020
Customer Service Representative
Anthem Blue Cross Blue Shield
05.2015 - 12.2016
High School Diploma -
Tuckahoe High School
Human Development and Family Studies
University of Maryland Eastern Shore