Tiffany Smith
Robbinsdale,MN
Summary
Dynamic professional with over 10 years of experience dedicated to delivering exceptional results and fostering collaborative team environments. Proven ability to adapt to evolving needs while ensuring reliability and success in all endeavors. Expertise in providing empathetic employee support, problem-solving, and maintaining regulatory precision to achieve impactful outcomes. Highly skilled in managing high-volume communication through telephone and email with clients, claimants, and medical offices to ensure timely, accurate, and supportive service.
Overview
11
11
years of professional experience
Work History
Return-to-Work Representative
Sedgwick Claims Management Services Inc.
08.2025 - 11.2025
- Evaluated and administered medial leaves of absence while ensuring full compliance with FMLA, ADA and all applicable state leave regulations.
- Prepared, documented and presented complex leave of absence cases to the Compliance Review Committee, providing clear recommendations and regulatory guidance.
- Partnered closely with HR Business Partners to facilitate and resolve intricate ADA accommodation requests, supporting employees and leaders through the interactive process.
Senior Disability Representative
Sedgwick Claims Management Services Inc.
05.2021 - 08.2025
- Applied advanced organizational and time-management skills to manage a complex caseload, overseeing the full lifecycle of each disability claim from initiation through resolution.
- Delivered expert-level guidance to employees and claimants, ensuring clarity, regulatory compliance, and compassionate support in all communications.
- Reviewed Attending Physician Statements for ICD-10 and CPT code accuracy and assessed essential job functions impacted by medical conditions.
- Recognized for exceptional employee support and regulatory precision, consistently earning an average 99% on internal claim-management audits.
- Managed high-volume telephone and email communication with clients, claimants, and medical offices to ensure timely, accurate and service-focused case coordination.
Disability Representative
Sedgwick Claims Management Services Inc.
11.2018 - 05.2021
- Led the go-live implementation of the New York Paid Family Leave (NYPFL) program and authored best-practice procedures to ensure consistent, compliant claim administration.
- Demonstrated strong multitasking, time-management, and problem-solving abilities while managing hundreds of NYPFL claims with accuracy and efficiency
- Calculated and issued payments for both intermittent and continuous leaves of absence in alignment with NYPFL wage-replacement guidelines.
- Reviewed Health Care Provider Certifications to ensure compliance with Serious Health Condition criteria outlined by the Department of Labor requirements.
Leave of Absence Representative
Sedgwick Claims Management
07.2017 - 11.2018
- Managed complex leave of absence cases, ensuring compliance with policies and regulations.
- Reviewed medical documentation for leave requests, verifying validity and eligibility.
- Provided guidance to employees on rights and responsibilities related to leave of absence programs.
Weighbridge Operator
Constellation Brands
03.2017 - 05.2017
- Developed and managed an organized logistics plan that optimized truck arrival and departure operations.
- Ensured auditing and bookkeeping was entered accurately in Microsoft Excel and JD Enterprise.
Teacher
Worwick Franklin Institute
11.2016 - 02.2017
- Demonstrated strong leadership, patience and communication skills while leading a classroom through core subjects.
- Planned hands-on lessons, crafts and games that taught phonics and reading comprehension in a memorable and creative manner.
Supervisor
Redstone American Grill
11.2014 - 11.2016
- Met, greeted and encouraged feedback from customers and used feedback to implement positive changes within the restaurant while promoting a positive atmosphere.
- Conducted daily pre-shift and weekly departmental meetings to ensure organizational efficiency.
- Assigned tasks and oversaw the direction of employees to ensure compliance with food safety procedures and quality control guidelines.
Education
New York Independent Adjuster License -
Minneapolis, Minnesota01.2018
Bachelor of Science - Child Psychology
University Of Minnesota
Minneapolis, Minnesota01.2015
Skills
- Goal-oriented mindset
- Interpersonal communication
- Customer relations
- Timeline management
- Issue resolution
- Complex problem solving
- Teamwork and collaboration
- Microsoft office
Timeline
Return-to-Work Representative
Sedgwick Claims Management Services Inc.
08.2025 - 11.2025
Senior Disability Representative
Sedgwick Claims Management Services Inc.
05.2021 - 08.2025
Disability Representative
Sedgwick Claims Management Services Inc.
11.2018 - 05.2021
Leave of Absence Representative
Sedgwick Claims Management
07.2017 - 11.2018
Weighbridge Operator
Constellation Brands
03.2017 - 05.2017
Teacher
Worwick Franklin Institute
11.2016 - 02.2017
Supervisor
Redstone American Grill
11.2014 - 11.2016
Bachelor of Science - Child Psychology
University Of Minnesota