-Coordinates and leads virtual implementation meetings with clients, brokers, enrollment/benefit admin vendors and internal partners for onboarding processes and developing file feeds-Consults with clients and brokers to customize processes for their employee population on Short-Term and Long-Term Disability, Group Life, and Supplemental Health/Worksite (Critical Illness, Group Accident, Hospital Indemnity) products-Serves as DocuSign Administrator and Subject Matter Expert in leveraging DocuSign e-signature technology to digitalize agreement delivery and fulfillment for cross-functional teams-Leads and administers the electronic Evidence of Insurability application submission setup process as well as facilitates training and consults internal and external business partners with best practices-Researched and deployed a special high-priority project to build mapping and merging 2000+ master group applications by using Adobe Action Wizard tools that saved 400+ hours of manual data-entry of applications; this project generated $10M premium revenue and onboarding 1,100 new businesses-Serves as team lead in researching and developing internal processes and standard operating procedures for process efficiency and improvement

-Supported national accounts client implementation managers and national account managers with policy plan designs and communication piece edits during the on-boarding process-Responsible for documenting best practices and revising Aflac business case submission instructional job aids-Participated in a pilot submission project to centralize and ensure effective case submission process and on-boarding for new clients-Collaborated with other departmental personnels to determine best practices and communication preferences for successful initial client experience-Supported voluntary benefits management and Medical Underwriting Department with programming electronic Statement of Health/Evidence of Insurability document via DocuSign during enrollment seasons

-Adjudicated disability claims based on medical documentations, enrollment records and eligibility for total disability-Investigated all relevant claim issues, provides payment or denials promptly in full compliance with departmental procedures-Communicated with claimants to verify eligibility for benefits, gather information on medical conditions and potential incomes, and explain policy provisions and limitations-Consulted with clients, sales managers, and brokers for their inquiries about pertinent policy provisions, exclusions, and limitations-Served as a Subject Matter Expert on disability policies to ensure service excellence and efficiency

-Researched claim denials and rejections by corresponding with various state and commercial payers to resolve issues that affect electronic billings and collections-Conducted new client audits which include reviewing hospital and practice information, editing the information in the billing software to ensure information is accurate and specific to each client, and inspecting the details in the billing software to follow all state regulations-Worked with the IT and other Reimbursement departments to update billing software in compliance to HIPAA

-Corresponded with insurance companies for claim denials and non-contracted fee-for-service discounts-Researched updated health insurance regulations and tracked changes on adjusted claims-Tracked payment and discount corrections by generating client reports on the database-Communicated with patients regarding claim denials and claim appeals process-Negotiated case rates with third party pricing vendors for discounted claims

-Assisted the lead teacher with coordinating daily lesson plans and activities -Provided individualized and group instruction and support for reading, writing, and math-Executed lead teacher duties as substitute teacher as needed