Experience

Madison National Life Insurance Company, Inc

• United States
• Insurance
• 1 - 100 Employee

• Business Solutions Manager

  • Jan 2020 - Present

• Appeal Specialist

  • Apr 2015 - Jan 2020



Healthcare Financial, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Social Security Team Leader

  • Sep 2011 - Mar 2015

  Boston, Massachusetts I oversaw the daily operations of a team of Disability Specialists (DS) and Outreach Specialists (OS). The DS and OS perform telephonic outreach and screening to determine Managed Care Organizations (MCO's) member eligibility for our disability application assistance program. My responsibilities included: •leading the team and supporting the Director of SS Operations in all daily operations and leadership activities •interfacing with the Social Security Administration, Medicaid… Show more I oversaw the daily operations of a team of Disability Specialists (DS) and Outreach Specialists (OS). The DS and OS perform telephonic outreach and screening to determine Managed Care Organizations (MCO's) member eligibility for our disability application assistance program. My responsibilities included: •leading the team and supporting the Director of SS Operations in all daily operations and leadership activities •interfacing with the Social Security Administration, Medicaid, and MCO's to troubleshoot and resolve issues •directing staff to increase productivity by establishing short and long term goals •managing customer service by serving as point of contact for MCO •overseeing the hiring, training and development of new OS/DS which includes creating and maintaining training documents •managing team members by appraising daily, weekly, and monthly performance •creating and disseminating performance reviews and performance improvement plans •developing, modifying and monitoring processes to effectively support and enhance the workflow of the business unit •monitoring team productivity levels and communicating weekly through meetings or reports to Senior Management •presenting weekly during team meetings •handling escalated phone calls and perform conflict resolution •reviewing and approving weekly time-sheets and monitoring absence management

• Disability Specialist

  • Mar 2010 - Sep 2011

  Boston, Massachusetts Provided guidance and disability application assistance to Medicaid members.



Prudential Financial

• United States
• Financial Services
• 700 & Above Employee

• Disability Claims Examiner

  • Jul 2007 - Mar 2010

  Portland, Maine Determined Long Term Disability insurance eligibility. Interviewed applicants. Identified and requested necessary evidence to support application. Utilized multiple medical resources and interpreted policy to make determination. Communicated determination by phone and writing.



Madison National Life Insurance Company, Inc

• United States
• Insurance
• 1 - 100 Employee

• Senior Disability Claims Examiner

  • 2004 - 2007

  Madison, Wisconsin Determined Long Term Disability insurance eligibility. Interviewed applicants. Identified and requested necessary evidence to support application. Utilized multiple medical resources and interpreted policy to make determination. Communicated determination by phone and writing.



Humana

• United States
• Insurance
• 700 & Above Employee

• Marketing Specialist

  • 2003 - 2004

  Madison, Wisconsin Worked in a call center to sell health insurance policies to individuals.