Leslie Boucher
Huntington,USA
Summary
Personal Injury Protection/Diligent Claims Examiner with solid background in processing and evaluating insurance claims. Effectively managed numerous cases, ensuring accurate and timely resolution. Demonstrated strong analytical skills and attention to detail in complex claim assessments.
Overview
12
12
years of professional experience
1
1
Certification
Work History
PIP Litigation Claims Examiner II
GEICO
Melville, NY
10.2024 - 10.2025
- Receive and process PIP arbitrations and lawsuits.
- Responsibilities include analyzing allegations and settling or defending (negotiating) settlements based on the merits of the case.
- Directing defense attorneys in the multiple stages of the litigation process.
- Analyzing complex sets of claim information while working in a fast paced environment and handling a high volume of claims.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
Care Manager
Tri County Care
Spring Valley, NY
08.2023 - 05.2024
- Advocating for individuals in coordination with their schools assisting them with applications to SNAP benefits, Social Security or waiver programs and other services.
- Development of person centered goals, working to identify the goals, and building a plan to reach the goals.
- Streamlined administrative processes, resulting in more efficient record-keeping and reduced errors.
- Led and managed a team of 25 care staff, maintaining high-quality care for 40 residents. Ensured compliance with regulatory standards and guidelines.
- Implemented staff training programs resulting in improved care delivery and increased resident satisfaction.
- Responsible for analyzing situations accurately, prioritize tasks and take effective action while advocating for the member to help reach their identified goals.
- Coordinates high quality healthcare services, including medical, behavioral and specialized services.
Care Manager
ACANY
Hauppauge, NY
10.2022 - 08.2023
- Developed and implemented individualized care plans in collaboration with residents' families and healthcare professionals resulting in improved resident well-being.
- Use case management software to streamline patient scheduling and care documentation.
- Implement comprehensive patient care protocols to improve care consistency by 45%.
- Develop, monitor and implement member Life Plans within required time frames by leading the team planning process with a person-centered approach.
- Ensuring existing benefits are maintained including (Medicaid, Social Security, SNAP).
- Maintained accurate records and documentation, ensuring compliance with regulatory requirements.
- Effectively managed budgets, resulting in cost savings of 15% without compromising quality of care.
Day Habilitation Supervisor
ACLD
Hauppauge, NY
07.2015 - 10.2022
- Developing and monitoring the implementation of assigned individuals Day Habilitation plans including chairing all meetings and maintain all files.
- Responsible for implementing management and behavior goals for assigned individuals and to assist in the training of individuals in developmental and daily living skills in the community.
- Providing the direct care and service to the individuals at all times, whether in the community outings or in the Day Habilitation program.
- Supervised staff, managed schedules to coordinate activities.
- Managed timesheets, reviewed and submitted to payroll clerk.
- Monitored and ensured staff were up to date and in compliance with all required trainings and documentation, including trainings.
Operations Manager
Personal Pool Management LLC
Huntington Station, NY
04.2020 - 10.2021
- Managed team of 24 technicians at multiple locations across Long Island.
- Developed schedules, purchased and delivered supplies.
- Oversaw financial management activities, including budget management, accounting and payroll.
- Reduced operational expenses by 15% in 6 months.
- Created emergency action plan and proctored biweekly staff in-service training.
- Devised, deployed and monitored processes to boost long-term business success and increase profit levels 6%.
Direct Support Professional
The Center
Woodbury, NY
12.2014 - 12.2015
- Ensuring the proper high-quality care and service to the residents at all times
- Assist residents in any activities, which are designed to stimulate independence, personal community growth, and social maturation
- Responsible for implementing management and behavior goals for assigned residents and to assist in the training of residents in developmental and daily living skills
- Maintain all necessary records and charts on all residents in an accurate and concise manner.
- Assist an average of 80 patients per month with dressing, grooming and feeding need, helping them to overcome and adapt to mobility restrictions.
- Keep accurate records for client files and handled related paperwork.
Teller
Bank of America
Islip, NY
09.2013 - 02.2014
- Processed an average of 50 customer transactions daily, ensuring accuracy and compliance with bank policies.
- Developed relationships with regular customers, enhancing customer loyalty and retention.
- Conducted customer transactions, including deposits, withdrawals, and check cashing, with a 99.5% accuracy rate.
- Assisted in branch operations, including opening and closing procedures, resulting in improved efficiency.
- Resolved customer complaints efficiently, resulting in a 20% increase in customer satisfaction ratings.
Education
Bachelor of Arts - Sociology, Criminal Justice
SUNY At Albany
Albany, NYSkills
- Proficient in Microsoft Office and Excel
- Cross-Functional Collaboration
- Performance Tracking
- Time Management
- Detail-Oriented
- Conflict Resolution
- Organization
- Care Planning
- Quality Improvement
- Case assessments
- Data Entry and Analysis
- Risk Management
- Claims processing
- Conflict resolution
Certification
- CPR
- SCIP
- AMAP
Timeline
PIP Litigation Claims Examiner II
GEICO
10.2024 - 10.2025
Care Manager
Tri County Care
08.2023 - 05.2024
Care Manager
ACANY
10.2022 - 08.2023
Operations Manager
Personal Pool Management LLC
04.2020 - 10.2021
Day Habilitation Supervisor
ACLD
07.2015 - 10.2022
Direct Support Professional
The Center
12.2014 - 12.2015
Teller
Bank of America
09.2013 - 02.2014
Bachelor of Arts - Sociology, Criminal Justice
SUNY At Albany