Lynae Dufresne
Lethbridge,AB
Summary
I am a hardworking, positive, and reliable professional with a proven record of exceptional leadership and communication skills. Committed to continuously expanding abilities and gaining valuable experience to excel, while contributing meaningfully to the business needs. With a strong work ethic and a passion for success, I am dedicated to delivering high-quality results and exceeding expectations in a dynamic and collaborative environment.
Overview
28
28
years of professional experience
Work History
Recovery Care Specialist Accident Benefits
Wawanesa Mutual Insurance
07.2022 - Current
- Adjustment of Accident Benefit claims in a confidential and respectful manner, with astute judgement, sensitivity and consideration for each situation.
- Contribute to employee development through training, technical guidance, and coaching of new hires.
- Work independently as part of a larger team while recognizing changing priorities and tight deadlines ensuring the most efficient use of time and resources.
- Provide direction and support to our injured members, their families or legal representatives throughout the claims process, by providing an exceptional member experience delivered with empathy and compassion.
- Liaise with claimants, doctors and rehabilitation specialists Doctors, Lawyers, Employers, Treatment Providers, Case managers, Clinical Resource Team, Return to Work Team, and Injured Members in accordance with Wawanesa's Proactive Case Management approach.
- Manage disability claims for short and long term injuries
- Have a detailed eye and mobilized medical resources in line with Wawanesa's proactive case management model
- Recognize when to engage internal and external resources to support member satisfaction and negotiate with legal representatives as needed
- Coordinate and manage services with vendors and service providers such as accountants, lawyers, rehabilitation clinics and health practitioners.
- Timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.
- Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
- Establish timely and accurate loss and expense reserves throughout the life of the claim through evaluation of relevant information from various sources such as medical, legal, financial, and vocational.
- Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources.
- Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering an exceptional member experience.
- Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
RESPITE PROVIDER
Private Contractor
01.2013 - Current
- I provide in and out of home respite care for adults with developmental disabilities
- Maintain accurate and detailed daily logs for agencies, and accreditation governing bodies
- Work with personal and confidential matters on a regular and ever changing basis
- Mentor and train staff and volunteers
- Support individuals with all aspects of personal care and hygiene
- Support individuals with community inclusion opportunities such as clubs, sports and other activities of interest
- Provide support in the areas of personal shopping, meal planning, preparation, and home maintenance
- Help with budgeting
- Liaison with community, support networks, family and other stakeholders
- Other duties as required.
Private Violin Teacher
Self-employeed
01.2003 - Current
- Keep accurate detailed business and student records
- Teach classical violin and fiddle to children and adults ages 4-90 in my own home
- Work with a variety of children and adults of different ages who have individual needs and abilities
- I am able to effectively customize their learning experience to accommodate the needs of each person
- Provide support for behavioural challenges while fostering and maintaining an effective learning environment for a child with oppositional defiance disorder, and attention deficit hyperactivity, as well as autism spectrum disorder.
PROFESSIONAL MUSICIAN
Self-employeed
01.1997 - Current
- Professional award winning musician
- Toured around the world playing violin, singing and songwriting
- Provide customized musical entertainment for a variety of venues, events and groups.
Litco Law Client Care Specialist
Litco Law
08.2020 - 04.2022
- Daily client updates regarding injuries, treatments, and other services needed
- Addressing and assisting with client concerns in order to find a best solution
- Keep detailed files and meet company targets
- Regularly and consistently respond to calls, emails and faxes
- Review and report to my supervisor with questions or concerns about files
- Used to working in a fast paced high file count environment
- Assessed and accessed community resources not covered by insurance for clients
- Liaise with accident benefits, bodily injury and property damage adjusters
- Familiar with DTPR and AAIB Protocols
- Created a document to assist new client care specialists at Litco Law regarding DTPR and AAIB guidelines
- Familiar working with ICBC and Alberta Insurance Regulators
- Familiar with accessing and reading collision, police, FOIP and incident reports
- Some knowledge around MVAC and WCB Claims
- Familiar with preparing and submitting court documents
- Received Commissioner of Oaths
- Familiar with ordering chart notes from clinics and doctors offices
- Familiar with independent medical examination reports and recommendations
- Actively participate in our quarterly book club to advance knowledge in a variety of areas such as personal growth and development, financial, and business culture.
Vibe Health and Spine OFFICE ASSISTANT
Vibe Health and Spine
06.2017 - 08.2020
- Provide direct general support to business owner and treating practitioner.
- General Office Duties include: Data entry, answering phones, emails, general inquiries, billing, preparing documents, invoicing, ordering supplies
- Take payments on POS System
- Greet clients
- Keep paperwork accurate and up to date
- Completing and editing reports
- Prepare office equipment Includes (X-ray, computers, fax and scanner)
- Attend networking meetings
- Keep office space neat and tidy
- Liaison with software providers
- Responsible for all scheduling of appointments
- Responsible for accounts payable and receivable
- Assist clients with insurance forms.
Solara Dental Care Re-care Coordinator
Solara Dental Care
01.2019 - 01.2020
- Provide direct support to the dental team with any tasks as required
- Schedule patient appointments
- First point of contact for new and existing patients
- Answer phones and direct calls to appropriate staff
- Update and maintain accurate patient files
- Maintain client confidentiality
- Address patient concerns on an individual basis
- Variety of software programs including Dentrix
- Work independently or as part of a team
- Liaison with office contractors.
MOUNT ROYAL UNIVERSITY ADULT VIOLIN TEACHER
Mount Royal University
09.2016 - 01.2018
- I developed a curriculum which was submitted to administration for approval and instructed adults from beginner to advanced in a group setting, this includes technique, theory, and practical skills.
BOW VALLEY FIDDLERS | INSTRUCTOR
Bow Valley Fiddlers
01.2003 - 01.2004
- Instructor and coach for the beginner and teen group of the bow valley fiddlers.
Education
MICHA EYELASH EXTENSION BASIC TRAINING -
Modern
Calgary, AB01.2014
HD IBROW -
Purple
Calgary01.2014
HIGH SCHOOL GRADE 12 DIPLOMA -
SANDPOINT HIGHSCHOOL
Sandpoint Idaho01.1997
Skills
- Excellent time management and planning skills
- Energetic, positive, creative and resourceful
- Work well as part of a team or working independently
- Self-motivator
- Quick learner
- Never afraid to try something new
- Confident leader
- Software system skills; Jane, Word, Outlook, Adobe, Proclaim, Avaya, Claim Centre, Genesys and Citrix
- Data entry proficiency
- Detailed Documentation
- Excellent Verbal and written communication skills
- Strong Ethics
- Dependable and Responsible
- Multitasking and Organization
- Compassionate communication
- Complex Problem-Solving
References
Available upon request
Timeline
Recovery Care Specialist Accident Benefits
Wawanesa Mutual Insurance
07.2022 - Current
Litco Law Client Care Specialist
Litco Law
08.2020 - 04.2022
Solara Dental Care Re-care Coordinator
Solara Dental Care
01.2019 - 01.2020
Vibe Health and Spine OFFICE ASSISTANT
Vibe Health and Spine
06.2017 - 08.2020
MOUNT ROYAL UNIVERSITY ADULT VIOLIN TEACHER
Mount Royal University
09.2016 - 01.2018
RESPITE PROVIDER
Private Contractor
01.2013 - Current
Private Violin Teacher
Self-employeed
01.2003 - Current
BOW VALLEY FIDDLERS | INSTRUCTOR
Bow Valley Fiddlers
01.2003 - 01.2004
PROFESSIONAL MUSICIAN
Self-employeed
01.1997 - Current
MICHA EYELASH EXTENSION BASIC TRAINING -
Modern
HD IBROW -
Purple
HIGH SCHOOL GRADE 12 DIPLOMA -
SANDPOINT HIGHSCHOOL
Similar Profiles
Leanne SmithLeanne Smith
Leadership Team Member, Enterprise Applications at Wawanesa Mutual InsuranceLeadership Team Member, Enterprise Applications at Wawanesa Mutual Insurance
Susan JohnsonSusan Johnson
Senior Insurance Underwriter at Wawanesa Mutual InsuranceSenior Insurance Underwriter at Wawanesa Mutual Insurance
MARGIELYN DANCELMARGIELYN DANCEL
Accounting Assistant at Wawanesa Mutual InsuranceAccounting Assistant at Wawanesa Mutual Insurance