Vladislav Kalmanovich
Nottingham,MD
Summary
Graduated from Stevenson University with a Bachelor’s Degree in Criminal Justice in 3 years. He has over 3 years of experience combined handling workers’ compensation claims in MD, VA, and DC jurisdictions. Collaborative and driven client-centric associate with extraordinary service, and swift issue resolution experience. Perform well in fast-paced, high-volume environments, constantly engaging in analytical skills to make decisions under pressure. Work with minimal direction or supervision to accomplish remarkable results. Strong record of going above and beyond requirements to satisfy both internal and external clients. Motivated to maintain client satisfaction and contribute to company success. I am ready to leverage 10 years of experience to take on new professional challenges and further my career.
Overview
10
10
years of professional experience
Work History
Claims Account Associate
Wye River Insurance
Greenbelt, MD
08.2024 - Current
- Communicate with 3 different TPAs and their adjusters to ensure prompt and accurate reporting according to industry and company's standards.
- Evaluate each claim and provide recommendations on the medical only, indemnity, and advise on alternatives to resolve claims.
- Gather supporting documents for General Liability, Property, and Auto claims for thorough investigation and subrogation.
- Review Thirty-Party Managed and Owned properties policies and lease agreements to determine coverage and if the incident stays as an incident only or is being reported to the carrier.
- Communicate with property managers and all parties involved in reported claim to provide updates on medical treatment and work status.
- Collect and track final vendor invoices and estimates for property claims, and general liability claims.
- Pull claim data and trends in various systems, including Luminos, TREO, and Travelers for tracking purposes.
- Generate Loss Run Reports and Contract Participation Reports to determine the number of losses and total incurred for each project and subcontractor for review by Wye River and Bozzuto & Associates.
- Consistently track open and closed claims daily.
- Participate in claims strategy and review meetings to go over the most up-to-date claim status and plan on moving the file to closure.
- Assist with carrier reporting for General Liability, Property, and Auto claims.
Senior Loss Time Claims Specialist
CorVel Corporation
Glen Allen, VA
02.2024 - 08.2024
- Independently analyzed claims to determine validity for potential fraud, completeness, accuracy, and determined claims for eligibility of wage loss benefits and treatment.
- Experience with Medical Only and High Indemnity loss time claims. Handled a caseload of 130-160, working with 3 different Insurer.
- Completed timely contacts, investigation, and documentation prior to expected timelines for determination of compensability decisions.
- Identified discrepancies in medical treatment. Submitted causation letters and IME referrals for deficiencies and noncompliance.
- Researched all medical records to evaluate claim validity and verify the existence of pre-existing conditions.
- Handled claims that required excess carrier, Medicare Reporting, and OSHA reporting
- Experience with DC, MD, and VA jurisdictions.
- Obtain recorded statements prior to 24 hour timeframe for initial contacts to ensure full understanding of the incident and validity in reported injury.
- Work closely with opposing counsel defense counsel, and all the parties involved to ensure timely responses to requests.
- Prepared and evaluated claims for plan of actions and increase reserves for life exposure to avoid stair stepping.
- Knowledge of ICD 10 and CPT® Codes and medical terminologies.
- Assisted with submission of EDI and SROI to avoid penalties and fines.
Claims Adjuster
Sedgwick Claims Management
Baltimore, MD
05.2022 - 09.2023
- Investigate all Baltimore City Police, Schools, Fire and Department of Public Works claims for potential fraud with focus on thoroughness, quality and cost control.
- Handle indemnity (loss time claims), litigation, and medical only. Some experience with subrogation claims.
- Identified and obtained all prior and current evidence to identify validity of reported injuries.
- Completed required investigations on all assigned claims within established timeframes
- If identified any inconsistencies or excessive medical treatment within a claim, then consider Independent Medical Examination (IME) to further evaluate the claim for causal relationship, need for treatment, apportionment, and or worsening if applicable.
- Respond to questions and inquiries for attorney firms, and various of medical treatment facilities on claim specific questions.
- Handle all billing discrepancies with all impacted claims and provide time sensitive resolution.
- Once both of the Ratings are received from the medical professionals, always push for permanency (PPD issues) and obtaining demand and then Authority to resolve the claim prior to hearing dates.
- Close to ratio is 100-200%
Client Transactions Specialist
FIS
Owings Mills, MD
08.2021 - 05.2022
- Assisted in developing and refining standard operating procedures for plan distributions, hardships, rollover-ins, and loans
- Supported, Coordinated, and mentored trainings to help both Colorado and MD employees to learn company policies and processing flow
- Communicate and resolve issues related to issued checks directly with other partners; such as client services in charge of the plans, central operations services, reconciliation of assets, and Banking.
- Handle all client transactions; such as contributions, loan payoffs, system updates related to participant's status, investigate researches related to various plan discrepancies; and take on new work assignments as they become available.
Retirement Plan Specialist Rep II
T. Rowe Price
Owings Mills, MD
01.2020 - 08.2021
- Assist in maintaining high dollar, over $250,000, retirement plans within 401(K) service department
- Process between 80-100 participant account requests on a daily while maintaining 100% Day 1 metrics
- Collaborate with our Client Administrators to manage escalated and sensitive participant’s requests
- Accountable for reviewing and overseeing coworker’s assignments to ensure timeliness and accuracy of their transactions
- Perform administrative duties, such as 401(k) processing, plan level client enrollments, running reject reports along with manual morning duties, processing and updating installments, and researching complex work items for the team and business partners
- Developed onboarding curriculum and coached all new hire retirement plan associates for Maryland and Colorado locations
Financial Service Representative
T. Rowe Price, Mills
Owings, MD
01.2019 - 01.2020
- Assist clients with up to $500,000 in investment funds and work closely with other departments to resolve account related issues
- Independently research and analyze shareholders' requests to ensure work is completed correctly
- Assist College Savings department with workflow and call volume as needed
- Make outbound calls to clients to clarify and obtain any additional information to complete required transactions, while demonstrating proficiency in client interaction skills
Real Estate Servicing Specialist
S3 Shared Service Solutions
Linthicum, MD
10.2017 - 12.2018
- Perform all necessary transactions to ensure accurate and timely disbursement of escrow funds to all types of insurance companies, county real estate tax offices, government agencies and others
- Complete all real estate loan servicing requests with attention to detail and with service level
- Requests include but are not limited to; processing real estate loan payoffs, cancelling private mortgage insurance, and verification of loan accounts
- Handle and assist with the process of satisfaction to have a lien recorded with the county Communicate with other departments to process general requests and reconcile any accounts associated with real estate servicing
- Work in collaboration and partnership with other team members
Member Services Representative
S3 Shared Service Solutions
Linthicum, MD
10.2014 - 10.2017
- Earned Employee of the Quarter as well as Employee of the Week
- Maintained efficiency and performance, demonstrating an Average Handling Time of 4 minutes at 13 calls per hour with 98% Adherence and 100% Quality Ranked in the top 5 out of all representatives in the contact center, with an average response to 75 calls per day
- Took on leadership responsibilities by volunteering to train new hires about S3's processes and procedures
- Assisted customers with escalating issues, questions, and concerns on members accounts
- Worked closely with members while providing excellent customer service
- Worked in 5 call queues specializing in existing loans, general banking, online banking, card services, and wires.
Education
Bachelor of Science - Criminal Justice
Stevenson University
09.2013
Skills
- Proficient in Microsoft Word, PowerPoint, and Excel
- Always take initiative and ownership when handling a time sensitive issue for internal and external clients to resolve complex situations
- Customer Relations
- Teamwork and Collaboration
- Efficient and Detail-Oriented
- Verbal and Written Communication
- Work Prioritization and Always Follow up
- Patient and Empathetic
- Effective Communication
- Strong Analytical and Problem Solving Skills
- Calm and Professional Under Pressure
- Settlement Negotiation skills for worker's compensation claims (Resolved high value indemnity claims)
Timeline
Claims Account Associate
Wye River Insurance
08.2024 - Current
Senior Loss Time Claims Specialist
CorVel Corporation
02.2024 - 08.2024
Claims Adjuster
Sedgwick Claims Management
05.2022 - 09.2023
Client Transactions Specialist
FIS
08.2021 - 05.2022
Retirement Plan Specialist Rep II
T. Rowe Price
01.2020 - 08.2021
Financial Service Representative
T. Rowe Price, Mills
01.2019 - 01.2020
Real Estate Servicing Specialist
S3 Shared Service Solutions
10.2017 - 12.2018
Member Services Representative
S3 Shared Service Solutions
10.2014 - 10.2017
Bachelor of Science - Criminal Justice
Stevenson University
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