Megan Pheil Burroughs
Portland
Summary
Experienced claims processor with a strong background in policy interpretation, decision-making, and critical thinking, skilled at managing complex workflows and ensuring compliance with federal, state, and client regulations. Adept at collaborating with stakeholders and resolving issues efficiently in high-paced environments. Eager to leverage expertise to contribute to a new role and drive organizational success.
Overview
11
11
years of professional experience
Work History
AMS Claims Examiner (I, II, Senior)
Matrix Absence Management
09.2021 - Current
- Supervisor: Jacob Osterholt
- Manager: Jacob Osterholt
- Duties included, but not limited to:
- - Acting as a liason between client, employee, and healthcare provider in order to process medical leave and other leave types and policies for specific clients within the company.
- - Investigates claim issues on multiple product lines such as; leave of absence, short-term disability, voluntary benefits, providing resolution within departmental and regulatory guidelines.
- - accountable for the decision making process for determining eligibility under federal, state laws and client policy
- - Secure and analyze information to make and approve decisions on all short-term disability, insured or self-insured, and/or statutory claims and their concurrent leave claims
- - Develop and apply appropriate claim and workflow management strategies, coordinating both disability and leave decisions while meeting timeliness regulations.
- Full time position, 40 hours per week
Seasonal Field Technician
Clackamas County Vector Control
04.2021 - 09.2021
- Manager: Maggie Atchley
- Phone: 503-655-8394
- Job duties include but are not limited to:
- - Survey assigned zone for mosquito larval sources, such as, irrigated pastures, ditches, marshy areas, sumps, water troughs, etc.
- - Identify stages of larval development and treat the area as needed.
- - Operate truck, and hand spray equipment.
- - Keep records of pesticide applications.
- - Set out and collect CO² baited live mosquito traps.
- - Pick up dead birds for West Nile virus testing.
- - Keep equipment, building/office, and vehicles clean, organized, and ready for use.
- - Respond to citizen requests.
- - Office work such as data entry
- - Other duties as specified by supervisory personnel.
- Seasonal position ends mid-September
- Full Time Position, 40 hours per week
Student Trainer
McNary Dining Center
09.2016 - 03.2021
- Manager: Joseph Fuller, Joyce Hurlbutt
- Phone: 541-737-1004
- Duties included, but not limited to:
- Front line customer service maintaining friendly and welcoming atmosphere with coworkers and all customers. Cashiering, counting the register, cleaning up the store, and sanitizing drink preparation areas. I also maintain clean, allergen free work areas that are safe to work in.
- Full Time Student Position, 20 hours per week
Front Crew, Food Service
Mikes Drive In
09.2014 - 01.2020
- Managers: Donna Burroughs, Brittany Martin
- Phone: 503-656-5588
- Duties included, but not limited to:
- Providing quick, accurate customer service while ensuring a friendly and positive experience for customers. Preparing drinks, serving food, cashiering, and cleaning up the working spaces and lobby. Worked as a closer at nighttime and was in charge of other employees as well as checking to make sure all duties are fulfilled properly and timely.
- Full Time Position during summer months
Education
Bachelor of Science - Human Dimensions in Natural Resources
Oregon State University
03.2021
High School - undefined
Gladstone High School
06.2016
Skills
- Claims processing
- Verbal communication
- Data verification
- Disability claims process
- Quick Learner
- Customer Service
- Policy Interpretation
Timeline
AMS Claims Examiner (I, II, Senior)
Matrix Absence Management
09.2021 - Current
Seasonal Field Technician
Clackamas County Vector Control
04.2021 - 09.2021
Student Trainer
McNary Dining Center
09.2016 - 03.2021
Front Crew, Food Service
Mikes Drive In
09.2014 - 01.2020
High School - undefined
Gladstone High School
Bachelor of Science - Human Dimensions in Natural Resources
Oregon State University