Princess Bellamy
Ft.Lauderdale,FL
Summary
Dedicated Leave Specialist with 8 years of experience in leave of absence management, claims adjudication, and compliance. Proven expertise in managing complex cases involving FMLA, ADA, and workers' compensation. Adept at collaborating with internal teams, third-party administrators, and stakeholders to ensure seamless processes and compliance with federal and state laws. Skilled in delivering exceptional service while maintaining accuracy, efficiency, and confidentiality. Proficient in Dayforce, Microsoft Office Suite, and other claims management systems.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Wellsense Health
12.2024 - Current
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
Leave of Absence Specialist
Lincoln Financial Group
01.2023 - 10.2024
- Managed a caseload of leave of absence claims, ensuring compliance with FMLA, state-specific regulations, and customer policies.
- Provided guidance and support for complex cases such as return-to-work, fitness-for-duty, and disability appeals.
- Audited documentation and claims records to ensure accuracy, compliance, and appropriate adjustments.
- Collaborated with employees, managers, and third-party administrators to resolve escalated leave issues.
- Ensured employee status changes were accurately reflected in internal systems such as Dayforce.
Claims Specialist
Statefarm
01.2023 - 12.2023
- Managed multiple complex injury claims while adhering to state regulations and company policies.
- Coordinated medical reviews, conducted investigations, and collaborated with legal teams for resolution.
- Delivered exceptional customer service through clear communication with claimants and stakeholders.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Ability Analyst
The Hartford
03.2019 - 06.2021
- Managed FMLA, short-term disability, and return-to-work processes in compliance with legal requirements.
- Audited claims records, identified discrepancies, and recommended process improvements.
- Ensured timely and accurate status changes in tracking systems and collaborated with HR teams for seamless transitions.
Legal Assistant
The Law Offices of Kanner and Pintaluga
07.2018 - 02.2019
- Responded to client inquiries, providing accurate legal advice and offering assistance.
- Facilitated timely resolution of legal matters by preparing and organizing essential documents.
- Managed legal documentation, facilitated case updates, and ensured proper file management.
- Communicated with clients to gather essential information for case preparation.
Customer Service Representative
Hotwire Communications
08.2016 - 07.2018
- Resolved customer inquiries, ensuring clear communication and resolution strategies.
- Maintained comprehensive records of customer interactions to improve service delivery.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Customer Service Representative
Mobile Help
07.2014 - 12.2015
- Handled confidential customer information while resolving billing issues and ensuring satisfaction.
- Processed account transactions and proactively followed up to prevent escalations.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Bachelor of Arts - Criminal Justice
Florida Atlantic University
Boca Raton, FL06-2016
Skills
- Property and Casualty Licensed Adjuster
- Extensive Knowledge of FMLA, ADA, Workers' Compensation, and Leave of Absence Policies
- Proficient in Dayforce and Third-Party Leave Administration Systems
- Strong Documentation, Auditing, and Compliance Skills
- Outstanding Customer Service and Communication
- Microsoft Office Suite (Word, Excel, Outlook)
- Highly Detail-Oriented and Organized
Timeline
Member Service Representative
Wellsense Health
12.2024 - Current
Leave of Absence Specialist
Lincoln Financial Group
01.2023 - 10.2024
Claims Specialist
Statefarm
01.2023 - 12.2023
Ability Analyst
The Hartford
03.2019 - 06.2021
Legal Assistant
The Law Offices of Kanner and Pintaluga
07.2018 - 02.2019
Customer Service Representative
Hotwire Communications
08.2016 - 07.2018
Customer Service Representative
Mobile Help
07.2014 - 12.2015
Bachelor of Arts - Criminal Justice
Florida Atlantic University
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