Tiffany Hall

Monitored sales performance and proposed strategies to increase revenue.

Managed inventory tracking and ordered supplies to ensure consistent stock availability.

Created weekly employee schedules to optimize workforce efficiency.

Conducted interviews and hired employees to build a strong team.

Ensured compliance with health and liquor licensing regulations to uphold standards.

Prepared shift reports to communicate key updates and insights to management.

Handled cash transactions and prepared end-of-day reports for point-of-sale systems.

Processed weekly payouts to ensure timely employee compensation, accurately and on time.

• Evaluated physician reports for quality, clarity, and clinical rationale; ensured alignment with client expectations.
• Reviewed all reports for accuracy, including grammar, format, and adherence to state and client-specific requirements.
• Oversaw quality assurance processes for reports, providing final approval to ensure compliance with client standards.
• Drove process improvements to enhance turnaround times, reduce clarification requests, and boost client satisfaction.
• Coordinated clarification and addendum requests, ensuring timely communication with clients for seamless report updates.
• Liaised with physicians to obtain timely documentation, securing final approvals to meet client deadlines.
• Composed written/verbal feedback to physicians regarding report quality and requested clarifications.
• Provided regular status updates to clients and ensured reports met all client and jurisdictional standards.
• Collaborated with the VP of Clinical Operations to report on quality issues and reviewer performance.

• Resolved customer contract discrepancies by investigating documentation and determining adjustments, enhancing customer satisfaction.
• Drafted and finalized new contracts based on client requirements and company policies.
• Provided customer service to internal and/or external stakeholders, recognizing what needs to be done to meet customer needs and demonstrating flexibility and responsiveness to meet customer needs.
• Communicated verbally and in written form effectively with applicable internal and external stakeholders to obtain increasingly complex required information while maintaining a professional demeanor in all interactions.
• Reviewed and verified documents to ensure accuracy and completeness, contributing to streamlined operations.
• Processed increasingly complex data and financial transactions per established procedures and guidelines independently, promptly, and meeting departmental quality/production standards.
• Identified issues and recommended process improvements, leading to enhanced team efficiency and quality.
• Communicated regularly with management on recognized trends of issues and/or concerns.
• Created and maintained up-to-date procedural documentation.

• Conducted initial and ongoing reviews to determine liability and benefit eligibility.
• Evaluated claims and referred to risk management resources, including Voc Rehab and Special Investigations, to facilitate appropriate resolutions.
• Made recommendations to approve or deny benefits accordingly.
• Communicated with claimants and various medical professionals regarding LTD benefits.
• Addressed written and telephone inquiries regarding claim status, ensuring timely responses and clarity for claimants.
• Assessed financial impact of social security, workers compensation, and third parties.
• Mentored and trained other Case Managers, enhancing team knowledge and support for effective case management.

• Onboarded, trained, and oversaw 10 new insurance employees.
• Effectively triaged disability claims and maintained assignment tracking.
• Guided claimants on claim processing and documented inquiries.
• Handled escalated customer service issues and inquiries.
• Communicated company changes to stakeholders following Liberty Mutual's acquisition by Lincoln Financial in 2018.

• Managed complex short-term disability claims through thorough review and investigation, ensuring compliance with regulations.
• Applied legal and contractual provisions to effectively mitigate risks in claims processing.
• Resolved claims using data systems and sound judgment, adhering to established standards.