Accai Bailey, Mba, Clms Email & Phone Number

Remote

Greater Chicago Area

• Manage the full scope of audit projects• Engage the Account Management Team in all stages of the audit process to ensure the specific needs of both internal and external customers are met through each audit• Present audit findings and proposed solutions to the Account Management Team and clients• Subject Matter Expert utilizing a high level of knowledge of statutory regulations, ERISA, and other laws and regulatory requirements pertaining to claims handling and payment• Consult with the Account Management Team, Carrier and/or Client with emphasis on claim process, preparation, submission, and resolution• Make recommendations to Account Management Team as appropriate for alternate claim solutions/resolution.

Greater Chicago Area

Dallas/Fort Worth Area

• Expert liaison for leave of absences for Intuit • Provided termination and/or corrective action consultations with leadership team • Vendor relation/management of leave of absence administrator• Provided process reviews and recommendations for improvement • OSHA and Workers’ Compensation review for all of US locations

Phoenix, Arizona Area

Integrated Claims Manager (May 2010 – May 2013) • Involved in new client finalist sales presentations and new client implementation• Involved in the hiring, supervision and training of claims team staff (14 direct reports)• Provided coaching opportunities of staff to improve claim and/or business practices • Responsible for all claim activity for a specific group of clients• Primary contact for clients on escalated claim issues• Consulted on client employee relation issues• Signed off on initial disability decisions, delays, denials, payments• Coordinated and participated in claim reviews • Provided a senior level review of complex claims • Participated in claim audits for clients• Determined eligibility for employee disability benefits• Utilized knowledge of the clients plans, policies, and any federal and state regulations associated with the client’s programIntegrated Claims Examiner (October 2009 – May 2010)• Participated in claim reviews and audits• Mentored new and existing employees• Worked with clients and claimants to determine disability liability • Managed disability claims and established disability payments and benefits

Phoenix, Arizona Area

Disability Claims Manager, Team Lead and QA Core Team (April 2006 – November 2009) • Participated in claim reviews and audits• Mentored new and existing employees• Worked with clients and claimants to determine disability liability • Managed disability claims and established disability payments and benefitsHome and Auto Insurance Sales Counselor (October 2005 – April 2006)• Promoted affinity relationships with potential clients• Counseled customers on home and auto insurance coverages that would best suit their needs• Established new clientele for Liberty Mutual

Phoenix, Arizona Area

Acting Manager, Trainer & Customer Service Representative (Dual Roles)• Performed call observations for team meetings and training classes• Provided team feedback on job performance• Manager takeovers for escalated calls• Developed presentations for team meetings and training classes• Solved billing inquiries for customers• Established accounts for new customers• Utilized technical and problem-solving skills • Sales

Master'S Degree, Business Administration And Management, General

Courses: Management - MGT521 Human Capital Management - HRM531 Business Law - LAW531 Organizational Leadership - LDR531 Quantitative.

Bachelor Of Arts - Ba, Communication, General