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
Candidate Searching
Procedure Compliance
Decision Making
Leave of Absence Transitions
Adaptable to Changing Conditions
Eligibility Determinations
Complex Problem Solving
Analytical and Critical Thinking
Policy Knowledge
Ethical Practice
Multitasking Abilities
Problem-solving abilities
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