Novian Rivera
Windsor
Summary
Dynamic Case Manager at MetLife USA with a proven track record in policy compliance and customer relationship management. Expertly handled over 150 disability claims, showcasing strong problem-solving and effective communication skills. Passionate about delivering exceptional service and ensuring client satisfaction through meticulous attention to detail and critical thinking.
Overview
10
10
years of professional experience
Work History
Case Manager
Metropolitan Life Insurance Company, MetLife USA
Bloomfield
10.2023 - Current
- Managed a portfolio of over 150 short-term disability claims, ensuring comprehensive case handling from submission to closure.
- Conducted interviews with claimants to assess their situation and gather necessary information for claim processing.
- Liaised with healthcare providers to obtain the medical documentation required for claim evaluation.
- Efficiently analyze and interpret medical information to render accurate decisions.
- Effectively communicate claim decisions to claimants.
- Review and comprehend customer-specific plan provisions to ensure compliance.
- Calculated claimants' benefit entitlements based on employee quarterly earnings.
Life Insurance Agent
American Income Life Insurance Company
Windsor
02.2023 - 09.2023
- Conducted outbound calls to generate leads, effectively engaging potential clients with insurance solutions.
- Mastered a comprehensive 10-page sales script to deliver presentations that were concise, educational, and compelling.
- Utilized persuasive communication techniques to articulate the benefits of life insurance policies to prospective customers.
- Maintained a high level of product knowledge to answer client queries confidently and accurately.
Head Custodian
Planet Fitness
Windsor
03.2017 - 12.2019
- Maintained cleanliness and order in a gym environment, ensuring a welcoming atmosphere for customers.
- Managed inventory levels to ensure availability of supplies for gym operations.
Field Worker
Hastings Tobacco
Windsor
06.2015 - 07.2016
- Efficiently harvested tobacco, demonstrating a strong work ethic, focus, and perseverance.
Education
Bachelor of Arts - International Business
Roger Williams University
Bristol, RI05-2022
Skills
- Policy compliance
- Customer relationship management
- Problem solving
- Effective communication
- Attention to detail
- Time management
- Conflict resolution
- Negotiation
- Critical Thinking
Affiliations
- Fitness/Nutrition
- Sports (Baseball and Football)
- Reading
- Quality time with family
Timeline
Case Manager
Metropolitan Life Insurance Company, MetLife USA
10.2023 - Current
Life Insurance Agent
American Income Life Insurance Company
02.2023 - 09.2023
Head Custodian
Planet Fitness
03.2017 - 12.2019
Field Worker
Hastings Tobacco
06.2015 - 07.2016
Bachelor of Arts - International Business
Roger Williams University
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