Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding the Long Term Disability claim.Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate and timely claim determinations.Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning.Completing accurate financial calculations consistent with company and state guidelines.Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments and other and ongoing financial work in accordance with the provisions in the Long Term Disability policy.Responsible for the application of policy provisions related to pre and post-disability financial calculations.Provides an ongoing review of claimant return to work earnings for consideration of partial benefit calculations.Reviews offset coding in the claims payment system for known offsets and adjusts as necessary.Reviews and ensures the accuracy of the benefit components in the claims payment systems.Reviews documentation and coding for the disability benefit taxability, including FIT, SIT, FICA.Makes Policyholder/ Insured calls as necessary and appropriate to obtain missing information relative to ongoing claim management.Performs other duties as required.

Ensure that Service of Process is completed, via personal service or publication, in order to allow lawsuits to move forward.

Manage all aspects of a personal injury lawsuit from intake to completion. This includes verification of injuries and costs incurred through acquisition of medical records and bills, as well as negotiation of subrogation amounts with client’s insurance.

Managed a crew of four people in the composition of dough batches and operation of baking equipment.

Determined new coordinates for the placement of tee markers and flagsticks on a daily basis. Moderate knowledge of chemical compositions used for spraying Bermuda and Fescue grass for the prevention and termination of broadleaf weeds, fungi, and insects. Assigned to direct crews of 3-5 co-workers and lead the logistics for time-sensitive projects such as the building of a putting green complex, laying concrete for new cart paths, and reconstructing sand bunkers. Operated heavy machinery designed for maintaining a golf course.

Setup catering orders for local businesses, hospitals, and universities. Accommodated high-end clientele in downtown Nashville and surrounding metropolitan area in delivering food orders from 30 plus eateries in a timely manner. Communicated with headquarters on an hourly basis in order to achieve maximum productivity for DoorStep Delivery and as an individual.

Performed a multitude of tasks vital to the operation of maintaining and manicuring the golf course grounds and surrounding acreage. Participated in various projects requiring a solid understanding of teamwork and time management skills including aerification of greens complexes, re-sodding areas of damaged grass, and felling trees.