Lynette Gibson Email & Phone Number

Greater Pittsburgh Area

Disability Integration Manager – 2008 - 2016 – Owns the operations service relationship with client and overall delivery of healthcare integrated product between Disability and Healthcare. Managed a team of 30 claim manager leads to support service delivery and metrics for Integration with Health Care Coaching and Case Management programs. Responsible for training delivery for new and existing employees at all levels including coaching, individual and team action plansResponsible for team performance, action plans to improve metricsResponsible for review of daily, weekly and monthly reports for accuracy, trending, coachingWork closely with reporting team to create more user friendly reportsSupport retention and profitable growth by assisting with presenting Cigna's Disability Value Proposition in offsite/onsite and telephonic client visitsResponsible for engaging internal matrix partners on escalated service issues, monitor overall health of client (account metrics and performance guarantees) Partner with Client Manager, VPs and Sales Team as needed on strategy meetings related to the implementation processPartner with Health Care, FMLA, Life and Waiver of Premium to support products, identify partnering processPartner with Total Quality Management team to created training documentsCall coaching and creation of daily work flow process documents

Long Term Disability Claim Manager / Disability Manager – 1993 through 2008 responsible for $5 million in claim reserves, Senior Claim Manager responsible for success metrics, training and developing of team of Claim Managers, managing disability claims decreased Long Term disability incidence rates which resulted in an employee given premium reduction for the LTD program. Support Short Term Disability team, manage staffing’s and ensure metrics. Extensive medical knowledge, review of medical records, ICD 9-10, ERISA, compliance and excellent customer service skills. Project lead to enhance and change claim process, resulting in $18 million in savings.Review for weekly reportsResponsible for stop payments, check reversal, vender payments, calculating overpayments and monthly benefit calculationsResponsible for all correspondance to customer, employer and venderAudit of employees claims, including claim payment, decision accuracy, contract accuracy, offset managment, social security, workers compensation and salary continuance offsetsFrequent correspondence and phone contact with physicians, hospitals, therapist, etc.Coaching of claims process, overpayment calculations and call coaching of employees