Sparkle Williams
Dallas,GA
Summary
Claims Examiner with 3 years of experience handling disability claims. Committed to successfully managing a complex and diverse caseload and ensuring each party is satisfied with the outcome while following company guidelines and industry best practices with a minimal amount of supervision. Confident in dealing with diverse populations using empathic, active listening skills and performing other tasks and duties within claims departments as dictated by business needs.
Overview
17
17
years of professional experience
Work History
Long Term Disability Claims Examiner
Lincoln Financial Group
01.2023 - Current
- Conducted regular audits of closed cases, identifying trends, and providing feedback for continuous improvement within claims department.
- Established credibility with claimants by demonstrating empathy, integrity, and professionalism throughout claims process.
- Reduced claim processing time with thorough review of medical records, interviews, and documentation.
- Participated in continuous training programs to stay current on industry trends, best practices, and regulatory changes impacting disability claims management.
- Enhanced communication between claimants and insurance providers through regular updates on case status and progress.
- Developed expert knowledge of various industries'' unique challenges related to workplace disabilities, leading to more accurate assessments of claim validity.
- Conducted comprehensive investigations into each case to determine eligibility for benefits based on objective evidence and established criteria.
- Skills: Inventory Management · Long Term Care Insurance · Claim Investigation · Time Management · Analytical Skills
Short-Term Disability Claims Examiner
Lincoln Financial Group
09.2021 - 01.2023
- Improved claim processing efficiency by implementing new organizational methods and streamlining workflows.
- Collaborated with medical professionals to obtain accurate assessments of claimant's disability status for informed decision making.
- Reduced claim processing time with thorough review of medical records, interviews, and documentation.
- Conducted comprehensive investigations into each case to determine eligibility for benefits based on objective evidence and established criteria.
- Enhanced communication between claimants and insurance providers through regular updates on case status and progress.
- Managed high volume of cases while maintaining strong attention to detail, resulting in timely and accurate decisions.
- Skills: Claim Investigation · Claims Management · Communication · Short-Term Health Insurance · Inventory Management
Intake Specialist
Lincoln Financial Group
08.2020 - 09.2021
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
- Completed intake assessment forms and filed clients' charts.
- Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into th required systems.
- Assisted clients with complex situations by providing clear guidance on intake process and available services, resulting in increased understanding and engagement.
- Skills: Client Intake · Patient Administration · Customer Service · Time Management
Front Office Specialist
WellStar
12.2019 - 08.2020
- Managed multi-line phone system, professionally handling incoming calls while simultaneously attending to in-person visitors at reception desk.
- Supported marketing efforts through social media management and promotional event coordination for increased brand visibility within community.
- Enhanced customer satisfaction by efficiently managing front office tasks and providing exceptional service.
- Scheduled appointments, sent reminders and updated master calendar.
- Assisted patients with completing necessary paperwork accurately and efficiently, expediting check-in process for smooth visit experience.
- Skills: Front Office Operations · General Office Work · Customer Service
Dual Stage Tire Builder
Michelin
05.2007 - 03.2018
- Ensured strict adherence to quality control standards by carefully inspecting each tire for defects before passing it along to next stage of production.
- Demonstrated commitment to continuous improvement by attending industry workshops and seminars, staying current on best practices in field of tire manufacturing.
- Increased overall product quality by implementing rigorous inspection procedures for all tires produced.
- Spearheaded efforts to improve communication between shifts, resulting in seamless handoffs and enhanced overall productivity.
- Displayed strong organizational skills in managing work area, keeping tools and equipment clean and readily accessible for efficient use during tire building tasks.
Education
Bachelor of Arts - Sociology
Delaware State University
Dover, DEBachelor of Science - Business
Indiana Institute of Technology
Fort Wayne, IN05.2026
Associate of Arts - Adolescent Education
Owens Community College
Perrysburg, OH05.2003
Skills
- Professionalism and Integrity
- Claims Evaluation Proficiency
- Documentation proficiency
- Claims Investigation
- Critical Thinking
- Customer service and support
- Team Collaboration
- Decision-Making
- Claims Processing
- Relationship Building
- Claims Processing
- Relationship Building
- Claims Evaluation
- Coverage Determination
- Denied claims identification
- Benefits review
Additional Information
Paraprofessional Certificate
ADDITIONAL INFORMATION
✓ Customer-focused professional with a diverse and extensive background of cross-industry experience driving sales and providing attentive service.
✓ Articulate communicator skilled in client relations, with the interpersonal skills to strengthen relationships with peers and management.
✓ Proven organizational skills and efficient management of multiple concurrent projects. Maintains a high level of confidentiality and professionalism at all times.
Timeline
Long Term Disability Claims Examiner
Lincoln Financial Group
01.2023 - Current
Short-Term Disability Claims Examiner
Lincoln Financial Group
09.2021 - 01.2023
Intake Specialist
Lincoln Financial Group
08.2020 - 09.2021
Front Office Specialist
WellStar
12.2019 - 08.2020
Dual Stage Tire Builder
Michelin
05.2007 - 03.2018
Bachelor of Arts - Sociology
Delaware State University
Bachelor of Science - Business
Indiana Institute of Technology
Associate of Arts - Adolescent Education
Owens Community College
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