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Long-Term Disability Case Manager Resume Builder

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Skills

  • Claims processing and adjudication
  • Customer satisfaction improvement
  • Program development
  • Onsite facility tours
  • Conflict resolution in claims reviews
  • Regulatory compliance
  • Strong interpersonal skills
  • Team building
  • Critical thinking for complex claim analysis
  • Collaborating with medical professionals

Work Experiences

  • Analyzed historical claim data to identify trends, resulting in the development of a targeted intervention process for high-risk cases.
  • Communicated with health care providers.
  • Achieved cost savings of $7.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Collaborated with legal advisors.
  • Collaborated with external vendors from Phoenix.
  • Analyzed historical claim data.
  • Achieved zero audit findings.
  • Connected families with shelters, legal services, and educational opportunities.
  • Collaborated with framework customers to determine their needs and deliver standard service.

Summaries

  • Achieved notable customer satisfaction improvements.
  • Collaborated with physicians and specialists in the Miscellaneous space to ensure effective treatment planning and documentation adherence for long-term disability clients.
  • Fluency in both Mandarin and Spanish.
  • Strengths in cross-functional collaboration and process improvement backed up by Miscellaneous training.
  • Intelligent Social Services Director with experience in budgeting and program management.
  • Achieved notable customer satisfaction improvements, enhancing year-on-year growth by 71% through dedicated and empathetic client engagement.
  • Clear understanding of performance reporting and risk assessment as well as stakeholder engagement training.
  • Accomplished at navigating complicated disability regulations across several states, ensuring compliant case management and preventing regulatory setbacks.
  • Achieved a 80% cut in claim-processing time.
  • Capable of reducing resolution timelines by 29%, creating tailored management plans for claimants, ensuring timely benefits decisions.

Accomplishments

  • Oversaw an average caseload of 5 long-term disability claims, consistently meeting time-sensitive deadlines and industry standards.
  • Developed custom workflows for disability claims processing, cutting average review times by 2 hours.
  • Reduced company exposure to financial and legal risks on complex claims through careful risk assessment and settlement negotiation.
  • Resolved product issue through consumer testing.
  • Implemented disability claims tracking systems using Asana to enhance reporting accuracy, leading to a reduction of administrative processing errors by 23%.
  • Enhanced claimant rehabilitation processes through partnerships with procedure medical networks, leading to an increase in return-to-work outcomes by 49% in procedure.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Initiated co-therapy programs between treating and evaluating physicians, which resulted in an increase in claimant treatment satisfaction by 56%.
  • Developed and fostered collaborative relationships with Miscellaneous physicians and therapists to promote effective treatment options for claimants.
  • Collaborated with HR and benefits teams to design targeted benefits packages for clients on LTD, contributing to a 19% rise in employee satisfaction surveys.

Affiliations

  • International Claim Association (ICA)
  • Society for Disability Studies (SDS)
  • Insurance Regulatory Examiners Society (IRES)
  • American Society of Safety Professionals
  • Council for Disability Awareness (CDA)
  • International Association of Administrative Professionals
  • Society of Women Engineers
  • Jaycees
  • National Association of Disability Representatives (NADR)
  • Health Care Compliance Association (HCCA)

Certifications

  • Executive Leadership Disability Certification Harbor & Co.
  • First Aid/CPR Certified
  • Certified Disability Management Professional (CDMP)
  • Certified Healthcare Financial Professional (CHFP)
  • Return-To-Work Coordinator Certification Lakeside Partners
  • Certified Public Accountant (CPA)
  • Professional in Human Resources (PHR)
  • Associate in Claims (AIC)
  • CompTIA A+ Technician
  • ServSafe

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