Disability Case Manager
Current• Directly managed 200 claims for client with key responsibilities including form reviews, approvals, denials, outbound calls to customers regarding leave status and communicating ADA accommodations between employers and employees.• Determined disability by comparing functionality with job description by reviewing medical information including physician statements and medical records to establish claim action plan.• Ascertained optimal recovery duration based on medical guideline criteria and set forth return to work expectations through proactive case management.• Attended scheduled medical roundtables with clinical staff to present clinical trigger documentation to drive claim management.• Assisted with disability backlog for various teams on multiple clients to ensure service level agreements are met within organization.