Experienced Short Term Disability Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 10 plus years of experience and willingness to take on any challenge.
Overview
24
24
years of professional experience
2
2
years of post-secondary education
Work History
Short Term Disability Specialist
Lineco
06.2023 - 06.2024
Assisted clients in understanding their rights and responsibilities under the Social Security Disability program.
Maintained comprehensive knowledge of federal regulations and policies governing disability benefits programs, ensuring compliance at all times.
Identified opportunities for continuous improvement within the department, implementing changes that enhanced overall service quality and efficacy in assisting disabled individuals.
Partnered closely with interdisciplinary teams consisting of doctors, therapists, and social workers to coordinate comprehensive care for disabled clients.
Conducted thorough case reviews, maintaining detailed records for each claimant''s application process.
Evaluated disability claims for eligibility, ensuring accurate and timely processing of applications.
Streamlined internal processes to enhance team efficiency and productivity in managing caseloads.
Remained up-to-date on industry trends and advancements in disability support services, leveraging this knowledge to better serve claimants and their families.
Managed complex cases involving multiple diagnoses or challenging circumstances, demonstrating exceptional problem-solving skills in navigating logistical hurdles.
Exceeded performance metrics by consistently meeting or surpassing established goals for completing case evaluations within specified timeframes.
Improved client satisfaction by efficiently addressing and resolving disability claims inquiries.
Effectively communicated complex information about disability benefits programs to a diverse clientele, ensuring that all individuals had a clear understanding of their entitlements and available resources.
Provided compassionate support to clients during difficult life transitions due to illness or injury, fostering positive relationships with claimants and their families.
Demonstrated strong organizational skills by efficiently managing a high volume of cases concurrently while maintaining meticulous attention to detail and accuracy in documentation processes.
Claims Support Specialist
MetLife Disability
Supports leadership in managing Claims Team
Models a high level of customer service skills and behaviors
Obtains strong knowledge of Short-Term Disability and TAM products
Performs monthly claim and call reviews and identifies any opportunities for improvement
Provides real-time coaching to Case Managers
Conducts bi-weekly 1x1’s with Case Managers to provide coaching, feedback, and support
Leads huddles and team trainings
Manages several daily / weekly reports
Manages escalations from customers and ensures timely resolution
Leads weekly customer calls
Partners closely with DCA, Account Team, and TAM leaders to ensure any customer needs are addressed
Performs claims testing for new customers.
Senior Short-Term Disability / FMLA Case Manager
MetLife Disability
Manages caseload of Short-Term Disability and Family & Medical Leave Act claims
Determines payment period, follow up and monitor payment accuracy and timeliness
Follow established claim policies and practices to resolve claims and issues
Manage high priority and escalated claims
Act as Team Champion.
Claims Support Specialist / Disability Customer Advocate
MetLife Disability
1 2011 - Current
Dual role working with both MetLife Associates as well as the Customer (Kroger)
Manages all escalations and inquiries received in the KANA system
Manages all escalations and inquires received from Account Team
Ensures all escalations are rectified timely and appropriately
Joins customer calls and provide claim updates
Completes monthly DCA reporting
Provides KANA training.
Subject Matter Expert (SME) for Robotics 2.0 Project
MetLife Disability
01.2011 - Current
Reviewed Short Term Disability Process end to end
Identified 9 processes that would be good candidates for Robotics
Completed top sheets for each process
Created Project Definition Documents for each process
Joined 3-hour pre production calls daily and provided needed information, clarification and feedback
Reviewed MI reports daily to monitor success/failure rates
Completed huddle runs to go over new processes with MetLife Associates.
Store Communications Coordinator
Claire’s Accessories Corporate Office
01.2003 - 01.2011
Close communication with regional managers and district managers via phone and email
Internal support provided to field management to ensure proper handling of store needs
Simultaneously answering phone calls for nationwide company customer service number-1-(800)-Claire’s
Obtains service issues from stores and customers nationwide and ensures they are handled correctly
Manages Excel spreadsheet documenting daily data
Prepare training materials for management and store locations
Maintain organization of service issue documents
Provide help in preparing for corporate meetings held at corporate office
Train new associates on the phones and proper procedures.
Department Manager
Kohl’s Department Store
01.2000 - 01.2003
Customer Service
Maintained organization of department
Set floor plans for department
Backup register service.
Education
General Education -
Harper Community College
01.2000 - 05.2001
General Education - undefined
Conant High School
01.2000 - 05.2000
Skills
Claims analysis
Microsoft Office
Claims Processing
Policy Interpretation
Claims Investigation
Teamwork and Collaboration
Customer Service
Problem-Solving
Time Management
Excellent administrative abilities
Data Entry
Documentation processing
Multitasking
Excellent Communication
Decision-Making
Self Motivation
Adaptability and Flexibility
Critical Thinking
Relationship Building
Timeline
Short Term Disability Specialist
Lineco
06.2023 - 06.2024
Subject Matter Expert (SME) for Robotics 2.0 Project
MetLife Disability
01.2011 - Current
Store Communications Coordinator
Claire’s Accessories Corporate Office
01.2003 - 01.2011
Department Manager
Kohl’s Department Store
01.2000 - 01.2003
General Education -
Harper Community College
01.2000 - 05.2001
General Education - undefined
Conant High School
01.2000 - 05.2000
Claims Support Specialist
MetLife Disability
Senior Short-Term Disability / FMLA Case Manager
MetLife Disability
Claims Support Specialist / Disability Customer Advocate