Katie Brown
Janesville,CA
Summary
Experienced disability and leave management claim specialist working within a claims team using the latest technology to manage an assigned caseload with a strong track record in effectively managing client cases and optimizing benefit delivery. Assesses policy coverage for submitted claims and notifies the insured of any issues. Recognized for a collaborative approach and consistent achievement of results, excels in adapting to changing needs. Proficient in policy interpretation and skilled in client communication, highly valued for reliability and flexibility.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Disability Claims Analyst
The Hartford
02.2024 - Current
- Participated in ongoing professional development opportunities, continuously enhancing knowledge within the disability claims field.
- Improved claim processing efficiency by streamlining documentation and communication protocols.
- Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
- Ensured timely claim resolution by prioritizing tasks and maintaining organization in a high-volume environment.
- Developed strong relationships with healthcare providers to facilitate information exchange and expedite claims processing.
- Applied fundamental liability concepts, practices and procedures of state or federal laws and requirements.
- Managed complex caseloads, adjudicating 50 plus claims a day, demonstrating exceptional attention to detail while adhering to strict deadlines for claim resolution.
- Knowledge of insurance coverage and medical terminology.
- Collaborated with medical professionals to accurately assess claimant disabilities and determine eligibility for benefits.
- Implemented effective follow-up strategies to monitor claimant progress and adapt benefit plans as needed based on changing circumstances.
- Handled escalated cases diplomatically, resolving issues professionally while maintaining positive client relationships.
- Optimized customer satisfaction through prompt, empathetic, and professional communication during the claims process.
- Safeguarded sensitive client information by following strict confidentiality guidelines and data security measures at all times during the claims process.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Proven interpersonal, analytical and negotiation abilities .
- Performs other duties as assigned.
LICENSED VOCATIONAL NURSE
State Of California
06.2010 - Current
- Administers medications using proper calculations and dosing, provides basic wound care, and related treatments to 400+ patients
- Plans for successful discharge of patients with complex and chronic illnesses daily
- Arranges primary care, hospice care, durable medical equipment for discharges to home care daily
- Identifies patient health risk factors, such as allergies, pre-existing conditions, or prior treatment, to anticipate obstacles to care daily
- Documents nursing care in patient health records, updates plans of care, and implements physician/provider orders often
- Use Microsoft Office Software on a daily basis
- Attends all trainings, meetings and committees as directed by Chief Nurse Executive or designee
- Other activities/projects as assigned including the preparation and distribution of computer reports.
- Maintains composure and professionalism in high stress environments and situations
- Utilized critical thinking and mathematical aptitude to gather information, apply sound reasoning and draw appropriate conclusion.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning as a Care Manager for 4 years.
- Answers and initiates telephone calls, sets up medical appointments, and provide customer service as required.
ULTRASOUND TECHNOLOGIST
Banner Lassen Medical Center
01.2014 - 01.2018
- Captured images using mobile equipment in operating rooms, emergency rooms, and patients' bedsides.
- Reviewed physicians' orders to determine medical imaging needs and operated radiologic equipment to capture, develop, and produce diagnostic images.
- Handled private and confidential information in compliance with hospital policies and procedures.
- Completed 20 ultrasound exams and verified proper documentation in ultrasound reporting system to facilitate accurate record-keeping.
- Observed and followed safety procedures to enforce universal precautions.
- Performed ultrasound scans and provided direct patient care after proper confirmation of study and patient identification.
- Utilized business acumen and technical expertise to make sound decisions based upon a mixture of analysis, experience and judgment, with management oversight
OFFICE TECHNICIAN
State Of California
02.2008 - 12.2008
- Reviewed, prepared, created, and sent letters, reports, and forms.
- Provided clerical support to company employees by Processing mail; handles filing, faxing and photocopying.
- Routed business correspondence, documents, and messages to correct departments and staff members.
- Answered and managed 50+ incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Informed and supported business leaders through consistent communication and administrative support Duties.ies.
- Helped to create a positive team environment that achieve Diversity and Inclusion initiatives and objectives.
- Coordinated and scheduled meetings and appointments.
- Input data into spreadsheets and databases.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Utilized office management software to record and track customer information.
- Purchased and maintained office supplies.
- Edited and proofread documents for accuracy and completeness.
- Performs other duties as assigned
Education
Certificate Of Completion - Diagnostic Medical Sonography
United Medical Institute
Sacramento, CAAssociate of Science - Licensed Vocational Nursing
LASSEN COMMUNITY COLLEGE
Susanville, CASkills
- Exceptional Customer Service
- Collaborative Work Experience
- Decision Maker
- Strong organizational skills
- Accurate Data Entry
- Medical Terminology
- Expert communication
- Case management
- Claims processing
- Strong empathy
- Benefits administration
Certification
- Licensed Vocational Nurse - 2010-Present
Timeline
Disability Claims Analyst
The Hartford
02.2024 - Current
ULTRASOUND TECHNOLOGIST
Banner Lassen Medical Center
01.2014 - 01.2018
LICENSED VOCATIONAL NURSE
State Of California
06.2010 - Current
OFFICE TECHNICIAN
State Of California
02.2008 - 12.2008
Associate of Science - Licensed Vocational Nursing
LASSEN COMMUNITY COLLEGE
Certificate Of Completion - Diagnostic Medical Sonography
United Medical Institute
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