Marina Klem
Bartlett,IL
Summary
Accomplished examiner and specialist with a proven track record at Sedgwick CMS, adept in claim determination and regulatory compliance. Demonstrates exceptional problem-solving and client communication skills. Achieved a high accuracy rate in documentation, enhancing client satisfaction and operational efficiency. Expert in managing multiple priorities with attention to detail, ensuring timely and accurate claim processing.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Disability and Paid Parental Leave Examiner
Sedgwick CMS
Schaumburg, IL
08.2022 - Current
- Making claim determinations to approve claims or recommending to a team lead to deny based on disability plan.
- Determining benefits due, making timely payments and adjustments for disability offsets.
- Communicating all decisions and ongoing expectations with clients and claimants.
- Referring claims as appropriate to team lead, maintaining professional relationships
Leave of Absence Specialist
Sedgwick CMS
Schaumburg, IL
12.2019 - 08.2022
- Assisted employees with their leave of absence requests, including providing information on the process and requirements.
- Created and maintained employee records related to leaves of absences in accordance with company policies and procedures.
- Determined eligibility based on state and federal regulations.
- Communicated all decisions and ongoing expectations with claimants and clients.
Medical Assistant
Advocate Medical
Morton Grove, IL
09.2015 - 03.2017
- Verified appointment times with patients, preparing charts, pre-admission and consent forms.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Scheduled appointments for patients via phone and in person.
- Conducted routine laboratory tests and sample analyses to monitor diseases.
- Collected, labeled and stored laboratory specimens properly prior to testing.
- Conducted patient interviews to gather health history, vital signs and information about current medical issues.
- Kept facility stocked with necessary supplies, equipment and instruments.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Responded to patient callbacks and phone-in prescription refill requests.
Education
Bachelor of Arts - Linguistics
Chuvash State Pedagogical University
Russia07-2009
Skills
- Good customer service and communication skills
- Documentation accuracy
- Detail-oriented
- Problem solving
- Time management and Collaboration skills
- Computer skills
Accomplishments
- Certified Mentor
Languages
Russian
Full Professional
Certification
- EKG/ECG
- medical billing/coding
- phlebotomy
Timeline
Disability and Paid Parental Leave Examiner
Sedgwick CMS
08.2022 - Current
Leave of Absence Specialist
Sedgwick CMS
12.2019 - 08.2022
Medical Assistant
Advocate Medical
09.2015 - 03.2017
Bachelor of Arts - Linguistics
Chuvash State Pedagogical University
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