REBECCA BAER
Senior Case Manager, Leave Management
Jordan,MN
Summary
Senior Disability Case Manager with 7+ years of experience in claim management of medical and personal leaves in compliance with federal, state, and client requirements; specializing in short-term disability, absence, and statutory claims. Skilled in identification of training needs and the creation, implementation, and tracking of material. Ideal balance of focus on business needs and goals, colleague collaboration, and exceptional customer service.
Overview
11
11
years of professional experience
Work History
Senior Case Manager
Symetra
03.2023 - Current
- Demonstrated industry knowledge in STD, SDI, PFML, and absence claim management.
- Complex reviews of claims using established procedures, familiarity with medical terminology, and assessment of policy guidelines in order to make a timely and confident decisions.
- Able to work under pressure while providing empathy and a positive employee experience, with attention to detail and mastery of conveying the claim process to claimants.
- Nominated to assist with training as a mentor in 2024, and is always available as an informal resource for colleagues.
Disability Team Coordinator
Sedgwick C.M.S
Eden Prairie, MN
01.2020 - 04.2022
- Analytical review and distribution of report information to management and colleagues to maintain performance requirements
- Appointed to handle claim escalations and oversee appeal processing timelines and communication
- Collaborated with management to source and develop a new colleague training process to improve retention and performance
- Maintained compounding claim load while assisting the team, satisfying all client guarantees
Disability Specialist Sr
Sedgwick C.M.S
Eden Prairie, MN
03.2019 - 01.2020
- Medically managed short-term disability claims, making decisions within duration control guidelines and plan provisions
- Sustained a 99% accuracy performance guarantee per client contract
- Selected to partner with Operations to assist 3 separate clients with system process, troubleshooting, and implementation of [NY and NJ] statutory leave benefit introduction
- Facilitated return to work negotiations via claimants’ medical providers and client employer
Disability Specialist
Sedgwick C.M.S
Eden Prairie, MN
10.2017 - 03.2019
- Focused on integrated maternity STD, PFML, client bonding, and FMLA, including monitoring and communicating benefit pay
- Delivered exceptional customer service to clients conveying benefit information and requirements clearly, and actively listening to concerns
- Spearheaded administration and monitoring of applicable statutory benefit coordination within the disability team, providing expertise and guidance
Leave of Absence Specialist
Sedgwick C.M.S
Eden Prairie, MN
12.2016 - 10.2017
- Medically manage FMLA claims within federal guidelines
- Maintained 99% accuracy, including timely decisions, allowing for increased claim load responsibility
- Refined benefit and medical knowledge and comprehension
Human Resources Team Member
Target
Eden Prairie, MN
12.2013 - 01.2017
- Responsible for the onboarding processes: recruiting, new hire paperwork and conducting orientation
- Ownership of store-wide training communication, tracking, and overall metrics
- Multitask and prioritize, meeting deadlines for payroll submission and various projects
- Assisted team members with benefit and payroll concerns
Education
Bachelor of Arts - Anthropology
University of North Dakota
08.2011
Skills
- STD, SDI, FMLA, PFML, ADA
- Training and Mentoring
- Benefit Pay Processing
- Third Party Administration
- HIPAA, ERISA Guidelines
- ICD-10, CPT Coding
- Documentation and Reporting
- Microsoft Office
- Communication & Collaboration
- Work Planning & Prioritization
- Analytical Thinking
Timeline
Senior Case Manager
Symetra
03.2023 - Current
Disability Team Coordinator
Sedgwick C.M.S
01.2020 - 04.2022
Disability Specialist Sr
Sedgwick C.M.S
03.2019 - 01.2020
Disability Specialist
Sedgwick C.M.S
10.2017 - 03.2019
Leave of Absence Specialist
Sedgwick C.M.S
12.2016 - 10.2017
Human Resources Team Member
Target
12.2013 - 01.2017
Bachelor of Arts - Anthropology
University of North Dakota
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