Results-driven specialist with strong background in disability claims management and portfolio management. Proven ability to navigate complex regulatory environments and ensure compliance. Skilled in assessing claims, coordinating with medical professionals, and delivering optimal outcomes. Strong collaborator who adapts to change and consistently achieves team goals.
Overview
6
6
years of professional experience
4
4
years of post-secondary education
Work History
Long Term Disability Claims Specialist II
Metropolitan Life Insurance Company, MetLife USA
Saint Louis, MO
08.2023 - Current
Conduct comprehensive evaluations of medical records to determine eligibility for benefits, ensuring compliance with multiple company policies and government regulations.
Calculate benefits for claimants according to their plans provisions and monthly review claimants working part-time on modified capacity while on disability.
Collaborate with clinical and vocational healthcare providers to obtain crucial information, leading to more accurate and faster decision-making on claims and identify potential opportunities for claimant rehabilitation and return to work.
Demonstrate attention to detail when reviewing medical records, enabling accurate assessment of functional limitations caused by disabilities.
Communicate effectively with both employers and claimants to confirm eligibility, answer questions and provide periodic updates.
Conduct formal multidisciplinary meetings (clinical, vocational, legal, etc.) to present pertinent information and strategize on appropriate claim trajectory.
Identify fraudulent claims by conducting detailed investigations and applying expert knowledge of disability guidelines and regulations.
Portfolio Administration Coordinator
Cushman & Wakefield
St Louis, Missouri
11.2021 - 08.2023
Primary Financial Management (FM) account associate for key clients; direct work of secondary associate supporting clients.
Abstract commercial real estate data from legal documents into various databases.
Verify financial data and produce monthly financials for clients.
Perform annual reconciliation reviews for Operating Expense and Real Estate Expense estimates for client properties.
Verify financial contract information and identify discrepancies.
Restrict accounts non-compliant with company standards.
Efficiently organize large spreadsheets within tight timeframes.
Validate incoming large-sum wire transfers, transfer account data and reconcile client account restrictions.
Assist leaders in the Learn at Lunch Program.
Quickly proficient in applications (BETA, WISDOM, FCC)
Store clerk
ETC (University of Richmond Campus Store)
02.2019 - 05.2019
Handled cash register operations accurately, processing transactions quickly while ensuring security measures were followed.
Performed inventory control, such as counting, and stocking merchandise.
Education
Bachelor of Arts - Theory and Composition
UNIVERSITY OF RICHMOND
Richmond, VA
09.2017 - 05.2021
Skills
Analytical and critical thinking
Oral and written communication
Client case management
Attention to detail
Regulatory compliance adherence
Leadership Experience
Cushman & Wakefield:
Lead new hire and offshore training sessions; host Q&As for new hires on a biweekly basis, directly mentor 2 new hires, assisting them daily with abstraction, lease auditing, and financial management questions.
MetLife:
Train new team members and provide assistance and expertise to colleagues in the department on their claims.
Assistant Manager - PMO at MetLife (Metropolitan Life Insurance Company), USAssistant Manager - PMO at MetLife (Metropolitan Life Insurance Company), US
Long Term Disability Claim Specialist at Metropolitan Life Insurance - MetLifeLong Term Disability Claim Specialist at Metropolitan Life Insurance - MetLife