Emily Brinkmeyer Email & Phone Number

United States

Remote

• Conducted comprehensive analysis of incoming and active claims for Disability Income Protection and Office Overhead Expense, reviewing eligibility for benefits
• Oversaw claims from initial receipt to resolution, including appeals and litigation when applicable
• Coordinated with internal and external legal counsel, financial analysts, medical reviewers and investigative services
• Assessed business production and practice statements, as well as individual and business tax returns, for potential profit or production losses and calculate accurate full and partial disability benefits
• Handled claims under the individually underwritten policy sponsored by the American Dental Association, with variations in policy by state
• Began this position as an employee of Great West Financial, and my department was transitioned to Protective Life beginning June 2019

Kansas City, Missouri Area

• Assessed compensability of employee injuries under workers compensation according to the state acts, verified coverage and investigated medical causality of injury, investigated subrogation and fraud, facilitated.
• Completed initial contact with the employee, employer and medical providers, maintained ongoing contact throughout the life of the claim
• Reserved claims appropriately, reviewed medical payments, issued temporary total and permanent partial disability payments on low severity indemnity claims
• Developed and led a training on bill pay software and procedures for all adjusters in the company, and received a Special Recognition Award for this project
• States handled were Nebraska, Kansas, Missouri, Mississippi and Virginia

Kansas City, Missouri Area

• Evaluated medical information, job and occupational requirements to make determinations for benefits according to the contract provisions
• Executed onboarding for new clients, engaging in weekly check in calls with new customers to ensure smooth claim intake and address any concerns, and maintained strong relationships with existing customers
• Discussed sensitive information over the phone, effectively communicated with a variety of claimants, professionals in the medical, legal, vocational rehabilitation and human resources fields, wrote thorough letters.
• Worked with multiple group policies across numerous states for diverse employers

Kansas City, Missouri Area

• Evaluated claims for Social Security Disability Income and Supplemental Security Income, made initial determinations as well as reviewed ongoing claims for continued eligibility according to national standards
• Led multiple training sessions for new counselors on effective case management, annotating and summarizing medical records, and body systems
• Piloted new case management software which was subsequently implemented statewide and then nationwide
• In addition to normal caseload, volunteered to take on cases which required a quick determination

Bachelor Of Arts (B.A.), Molecular Biology, English

Activities and Societies: Oxbridge Honors Program, Association for Women in Science, Beta Beta Beta, Sigma Tau Delta• Molecular Biology.

Natural Sciences

International Baccalaureate