Myeasha Harrison
Chicago ,IL
Summary
Compassionate Disability Claims Specialist known for high productivity and efficient task completion. Skilled in case management, regulatory compliance, and claims adjudication. Excel in communication, empathy, and problem-solving to effectively manage caseloads and support claimants through the claims process.
Overview
16
16
years of professional experience
Work History
Senior Short-Term Disability Claims Specialist
Metlife
Aurora , IL
05.2015 - Current
- Provided excellent customer service by addressing inquiries promptly and professionally.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Researched state and federal laws related to disability benefits eligibility requirements.
- Provided education to claimants about their rights under various disability programs.
- Handled modification and updating of policies.
- Attended continuing education seminars related to changes in disability law or policy.
- Maintained accurate records and files containing detailed information on each claim processed.
- Drafted letters of notification for approved or denied claims.
- Collaborated with fellow team members to manage large volume of claims.
- Ensured that all decisions were made in accordance with applicable laws, regulations, and policies.
- Identified trends in claim activity to identify areas where process improvements could be implemented.
- Organized information by using spreadsheets, databases or word processing applications.
- Assessed applicants' physical abilities based on medical evidence submitted with their applications.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Participated in team meetings to discuss case management issues and provide updates on pending disability claims.
- Examined claims, records and procedures to grant approval of coverage.
- Checked documentation for appropriate coding, catching errors and making revisions.
Benefits Enrollment Specialist
Aon Hewitt, Hewitt Associates
Lincolnshire, IL
08.2008 - 05.2015
- Actively participated in meetings with senior management teams on matters pertaining to company benefits offerings.
- Reviewed employee enrollments to verify accuracy, inputting information into company database.
- Conducted new hire orientations to explain benefits programs and procedures.
- Assisted employees with benefits enrollment and changes, providing guidance on plan options and implications.
- Maintained up-to-date knowledge of changes in government regulations related to healthcare reform initiatives.
- Managed communications between carriers and vendors and employees regarding coverage details or claims status updates.
- Stayed current with benefits trends and legislation through continuous education and professional development.
- Processed paperwork associated with open enrollments, terminations, life events and other related activities.
Education
High School Diploma -
Jones College Prep
Chicago, IL06-1998
Skills
- Claims processing proficiency
- Documentation proficiency
- Strong communication
- Medical terminology expertise
- Self-motivation and initiative
- Continuous learning mindset
- Disability legislation knowledge
- Time management capabilities
- Professionalism and tact
- Professionalism
- Policy review
- Claims documentation
- Background in insurance
- Case management
- Customer service
- Investigation support
- Microsoft office
- Google suite proficiency
- Problem-solving
- Insurance terminology
- Effective communication
- Research skills
- Excellent communication
Timeline
Senior Short-Term Disability Claims Specialist
Metlife
05.2015 - Current
Benefits Enrollment Specialist
Aon Hewitt, Hewitt Associates
08.2008 - 05.2015
High School Diploma -
Jones College Prep