Richard Ciavone
Warren,MI
Summary
Dynamic Absence Management Specialist Supervisor with a proven track record at Matrix Absence Management Inc. Skilled in claims processing and team management, I drive business growth through effective training and conflict resolution. Recognized for enhancing operational efficiency and fostering strong customer relationships, I excel in creating impactful solutions.
Overview
11
11
years of professional experience
Work History
Absence Management Specialist Supervisor
Matrix Absence Management Inc.
Warren, Michigan
03.2025 - Current
- Assisted in the development of short-term disability plans and long-term disability plans.
- Communicated with medical professionals regarding employee's health related issues that are impacting their attendance at work.
- Provided guidance to managers and employees on leave policies and procedures.
- Participated in meetings with HR staff members to discuss processes related to managing absences from work.
Claims Examiner Team Lead
Matrix Absence Management Inc.
Warren, MICHIGAN
10.2023 - 03.2025
- Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
- Performed data entry into the computer system to record information regarding claim status.
- Analyzed customer complaints, identified root causes of problems, and developed corrective action plans.
- Developed a detailed understanding of the company's policies and procedures related to claim processing and payment determination.
- Trained New Hires on policies and procedures
- Managed a team of 10 Claims Representatives to ensure accuracy and timely completion of all claims processing activities.
- Reviewed and approved payments made on insurance claims within established guidelines.
- Monitored and tracked performance metrics such as turnaround times, resolution rates, denial rates. for the Claims Department.
Senior Claims Examiner
Matrix Absence Management Inc.
Warren, MI
07.2023 - 10.2023
- Paid and processed claims within designated authority level.
- Investigated questionable claims to determine payment authorization.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Completed required investigations on referred files within established timeframes.
- Support team members by answering questions
- Train new hires
AMS Claims Examiner II
Matrix Absence Management Inc.
Warren, MI
06.2022 - 07.2023
- Paid and processed claims within designated authority level.
- Handled and processed variety of claims, including FMLA and Short Term Disability.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Assist team members with claim questions and issues.
AMS Claims Examiner I
Matrix Absence Management Inc.
Warren, MI
06.2021 - 06.2022
- Paid and processed claims within designated authority level.
- Handled and processed variety of claims, including FMLA and STD.
- Entered claim transactions, including payments, reserves, and other documentation.
- Reviewed claims to ensure accuracy, resulting in multiple claim reductions.
- Double-checked and reviewed documentation for denied and accepted insurance claims.
Account Executive
United Wholesale Mortgage
Pontiac, MI
03.2021 - 05.2021
- Contacted customers about account or information issues, alerting clients of changes for excellent customer service.
- Made actionable and insightful recommendations for new products, extensions or enhancements.
- Cultivated and developed customer relationships to enable sustained revenue growth.
Retail Sales Supervisor
Micro Center
Madison Heights, MI
06.2019 - 01.2021
- Hired, trained, supervised and motivated team of 15 retail professionals to provide knowledgeable and fast service to every guest.
- Organized and updated schedules to optimize coverage for expected customer demands.
- Taught junior employees how to meet operational and sales goals with proactive strategies.
- Established, enforced and optimized departmental procedures and goals to optimize team performance and productivity.
- Delegated tasks to specific employees based on individual knowledge and strengths.
- Monitored department for signs of theft by customers or employees and implemented corrective actions to prevent recurrence.
Build Your Own Sales Associate
Micro Center
Madison Heights, MI
08.2016 - 06.2019
- Informed customers about current sales, promotions and policies to shape buying behavior.
- Answered questions with useful and accurate information to earn customer confidence and build trust.
- Educated customers on product and service offerings.
- Stayed up to date on store promotions, payment policies and security practices.
- Observed customer behaviors to identify security threats and escalate concerns to supervisors.
General Sales Associate
Micro Center
Madison Heights, MI
03.2014 - 08.2016
- Explained features and benefits of merchandise to customers to increase sales and profits.
- Recommended merchandise options to fulfill variety of customer wants and needs.
- Stocked shelves and supplies and organized displays to focus customer attention on specific items.
- Greeted customers and offered assistance to build favorable first impression and positive experience.
- Performed floor moves, merchandising, display maintenance and housekeeping to keep sales areas well-stocked, organized and current.
Education
High School Diploma -
Fitzgerald Senior High School
Warren, MI2012
Skills
- Creating marketing plans
- Driving business growth
- Customer outreach
- Business operations
- Team management
- MS Office
- Inventory management
- Strong communication skills
- Account Management
- Customer relationships
- Training team members
- Conflict Resolution
- Decision Making
- Team Collaboration
- Claims Processing
- Payment Processing
Timeline
Absence Management Specialist Supervisor
Matrix Absence Management Inc.
03.2025 - Current
Claims Examiner Team Lead
Matrix Absence Management Inc.
10.2023 - 03.2025
Senior Claims Examiner
Matrix Absence Management Inc.
07.2023 - 10.2023
AMS Claims Examiner II
Matrix Absence Management Inc.
06.2022 - 07.2023
AMS Claims Examiner I
Matrix Absence Management Inc.
06.2021 - 06.2022
Account Executive
United Wholesale Mortgage
03.2021 - 05.2021
Retail Sales Supervisor
Micro Center
06.2019 - 01.2021
Build Your Own Sales Associate
Micro Center
08.2016 - 06.2019
General Sales Associate
Micro Center
03.2014 - 08.2016
High School Diploma -
Fitzgerald Senior High School
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