Trisha Hodges DeShaw
Senior Disability Claims Examiner
Portland,OR
Summary
Experienced professional with 8 years of expertise in claims processing. Adept at prioritizing projects and seamlessly adapting to new environments and concepts. Exceptional customer relations, problem-solving, analytical, and communication skills honed to assess customer needs and implement effective methods for optimal results. Eager to expand professional experience while consistently demonstrating a track record of increasing responsibility.
Overview
13
13
years of professional experience
Work History
Senior Disability Examiner
Sedgwick Claims Management
06.2017 - 01.2025
- Verified the accuracy and eligibility of preliminary claim data.
- Analyzed detailed medical records.
- Engaged with healthcare entities to gather essential data for claims management.
- Executed payment processes accurately.
- Maintained detailed notes in claims documenting each action.
- Assisted customers thoroughly while displaying understanding.
- Ensured claims met all compliance requirements.
- Served as the dedicated examiner for voluntary short-term disability plan.
Leave of Absence Coordinator
Sedgwick Claims Management
09.2016 - 06.2017
- Ensured precision in processing claims related to FMLA, personal leave, and worker's compensation.
- Assessed initial claim details to ensure correctness and eligibility.
- Delivered customer service using telephonic conversations, digital messages, and formal correspondence.
- Evaluated healthcare documentation.
Network Engineer
JMA Information Technology
06.2012 - 03.2016
- Performed assessments of critical systems via comprehensive fail-over tests.
- Developed comprehensive VISIO illustrations for site networks.
- Facilitated direct communication with clients at job site.
Education
Bachelor Of Science - Information Technology
Kaplan University
Cedar Rapids, IA01.2013
Skills
- Benefits processing
- FMLA/STD/VSTD experience
- Medical documentation review
- Computer systems navigation
Timeline
Senior Disability Examiner
Sedgwick Claims Management
06.2017 - 01.2025
Leave of Absence Coordinator
Sedgwick Claims Management
09.2016 - 06.2017
Network Engineer
JMA Information Technology
06.2012 - 03.2016
Bachelor Of Science - Information Technology
Kaplan University
Similar Profiles
Danielle JordanDanielle Jordan
Care Team Representative at Sedgwick Claims ManagementCare Team Representative at Sedgwick Claims Management
Vanessa Aisel-BrownVanessa Aisel-Brown
Case Manager at Sedgwick Claims ManagementCase Manager at Sedgwick Claims Management
Barrisha StephensBarrisha Stephens
Leave of Absence Coordinator at Sedgwick Claims ManagementLeave of Absence Coordinator at Sedgwick Claims Management