Stephanie Burns
Moravian Falls,NC
Summary
Insurance professional with over a decade of experience in disability claims evaluation and administration. Expertise in analyzing complex cases and collaborating with cross-functional teams to drive compliance and enhance client support. Demonstrated ability to resolve escalations efficiently while maintaining high customer service standards. Additional experience with Life, Major Medical, Medicare Supplement and STD/LTD claim processing. Working knowledge of WC and state claims.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Senior Long Term Disability Specialist
MetLife
Bloomfield, CT
04.2021 - Current
- Evaluated disability claims to ensure compliance with company policies and regulations.
- Reviewed and analyzed complex cases to formulate effective action plans aligned with regulatory compliance.
- Collaborated with healthcare professionals to secure comprehensive medical documentation for accurate claim evaluations.
- Educated clients on disability benefits and resources to facilitate informed decision-making.
Coordinator
Lowe's Companies, Inc
Wilkesboro, USA
07.2014 - Current
- Delivered customer service by promptly addressing inquiries and resolving issues, enhancing customer satisfaction.
- Managed 50 to 75 incoming calls from Stores/Installers/Customers daily
- Secured new sales opportunities through accurate flooring quotes for various flooring types, contributing to sales growth.
- Maintains and exceeds departments production and quality assurance requirements
LTD Case Specialist and Appeals Specialist
Metlife
Oriskany, USA
01.2005 - 08.2013
- Evaluated disability claims to ensure compliance with company policies and regulations
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Cultivated and sustained professional relationships to facilitate effective communication and collaboration.
- Drafted diverse written communications, reports, and documents to support operational efficiency.
Education
Associate of Science - Accounting And Financial Services Management
Mohawk Valley Community College
Utica, NY05-2017
Certificate - Insurance
Mohawk Valley Community College
Utica, NY12-2013
Skills
- Excellent customer service skills
- Disability claim evaluation
- Medical documentation review
- Policy/Legal compliance analysis
- Documentation skills
- Accounts reconciliation
- Accounts payable
- Resource coordination
- Medical transcription/terminology knowledge
- Data analysis
- Strong organizational/analytical skills
- Scheduling management
- Effective oral and written communication
- Attention to detail
- Time management
- Problem solving
- Critical thinking
- Team collaboration
- Client advocacy
- Adaptability and flexibility
Certification
Completed course required to take either insurance adjuster or insurance broker examination
Timeline
Senior Long Term Disability Specialist
MetLife
04.2021 - Current
Coordinator
Lowe's Companies, Inc
07.2014 - Current
LTD Case Specialist and Appeals Specialist
Metlife
01.2005 - 08.2013
Associate of Science - Accounting And Financial Services Management
Mohawk Valley Community College
Certificate - Insurance
Mohawk Valley Community College