Nadine McLean

· Responsible for the back-end system set-up for implementing new National Account and Regional Market cases, working closely with the Implementation teams and customer to assess and implement Leave of Absence policies.

· Subject matter expert on FMLA, State FMLA and leave policies, as well as eligibility requirements.

· Partner with account teams, Disability Operational Process Leads, and Customer Delivery for changes to existing TAM/Catalyst customers. Analyze impact of change to current set-up, develop and implement solution.

· Attend conference calls related to Absence set-up issues/topics and provide consultation relative to resolution and next steps.

· Identify solution, implement process and system improvements through continuous business and procedural analysis.

· Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.

· Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.

· Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.

· Observed and reported patient condition, progress and medication side effects to accurately document updates.

· Managed assigned caseload of Short-term Disability (STD) and Family Medical Leave Act

· (FMLA) claims.

· Evaluated claimants' eligibility via information received from claimants, attending physicians and employers.

· Consulted with the clinical team to assess diagnosis and severity of condition.

· Determined medical leave duration, followed up with claimants, and monitored payment accuracy.

· Followed established customer specific claim guidelines and practices to resolve claim issues.

· Maintained customer satisfaction with strategies focused on addressing claimant needs and resolving concerns.