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Skills

  • Program development
  • Risk assessment and mitigation
  • Vocational rehabilitation
  • Interviewing skills
  • Caseload management
  • Audit preparation and compliance
  • Conflict resolution
  • Team management
  • Client needs assessment
  • Audit compliance tracking

Work Experiences

  • Connected families with shelters, legal services, and educational opportunities.
  • Was in charge of staff development, which included in-depth trainings, workshops, seminars, and other opportunities for learning.
  • Conducted thorough assessments to evaluate client eligibility for various disability benefits, resulting in 50% of cases receiving optimal benefits.
  • Referred clients to the appropriate team members, community agencies, and organizations to meet treatment needs.
  • Controlled accommodations costs to meet budget.
  • Achieved 31% of cases receiving optimal benefits.
  • Collaborated with vocational rehab partners.
  • Devised and implemented a number of novel policies and strategies to help clients achieve self-sufficiency.
  • Collaborated with interdisciplinary teams.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.

Summaries

  • Accomplished in mediation and settlement negotiations, having recovered over $2 in unpaid benefits through expertise in benefit eligibility and compliance.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the procedure business.
  • Strengths in process improvement and cross-functional collaboration backed up by Miscellaneous training.
  • Accomplished in preparing comprehensive reports and documentation for disability cases, meeting deadlines and securing a Employee of the Year for exemplary client service.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Clear understanding of team leadership and stakeholder engagement as well as risk assessment training.
  • Assessed vocational capacities.
  • Professional with over 6 years of experience working in the community to provide information on available programs.
  • Achieved results within 2018.
  • Achieved faster case resolutions.

Accomplishments

  • Reduced insurance claim rejection rates by 57% through more rigorous assessment of medical documentation and appeals.
  • Measured and improved client outcomes through thorough benefit eligibility assessment, raising compliance standards by 80%.
  • Documented and resolved initiative which led to method.
  • Resolved product issue through consumer testing.
  • Developed a multilingual resources toolkit, improving communication and service accessibility for non-English speaking clients.
  • Created comprehensive workflows for mental health disability cases, resulting in improved case closure rates.
  • Reduced the incident of missed deadlines in the claims process by introducing a new tracking system, shortening the average processing time by 4 days.
  • Implemented focused strategies, cutting average case closure time for workplace injury disability claims by 46%.
  • Standardized end-to-end case management for disability services, achieving 43% adherence to regulatory guidelines.
  • Coordinated with interdisciplinary teams across framework to expedite claims processing, resulting in 55% faster resolution time.

Affiliations

  • American Case Management Association (ACMA)
  • International Association of Administrative Professionals
  • National Association of Disability Examiners (NADE)
  • National Rehabilitation Association (NRA)
  • Professional Association of Healthcare Office Management (PAHCOM)
  • Freemason
  • Rotary International
  • Certified Case Manager (CCM) credential holder
  • International Association of Rehabilitation Professionals (IARP)
  • International Disability Management Standards Council (IDMSC)

Certifications

  • Salesforce
  • Certified Disability Management Specialist (CDMS)
  • Clinical Case Management Certification (CCMC)
  • Apple Certified Associate (ACA)
  • Rehabilitation Counseling Certificate
  • Health Insurance Portability and Accountability Act (HIPAA) Certification
  • SHRM Certified Professional (SHRM-CP)
  • Compliance and Professional Standards Certification method
  • Certified Case Manager (CCM)
  • Certified Employee Benefit Specialist (CEBS)

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