Mia A. Email & Phone Number

Houston, Tx, Us

Hartford, Connecticut, United States

Intake employee disability (STD and LTD) and leave of absence claims (FMLA and company leaves) and initiate claim processes such as extension requests, stop payments and referrals.Dissect and understand claim processes (with a variety of group benefit, federal and statutory policies) to resolve employee, employer and healthcare provider inquiries.Informs claimants of documentation required to process claims, required time frames and payment information including benefit calculation and offsets.Coordinate with other departments to escalate claim processes.Data entry between multiple programs. Maintain high volume call center metrics. Empathize with a variety of customers and prioritize first call resolution.

Bellaire, Texas, United States

Ensure that clients within caseload are receiving services on an ongoing basis.Process payroll daily for over 100 employees.Ensure accuracy of billing data and fix all errors as necessary.Multitask between multiple programs and meet deadlines, and handle high volume calls.High-volume case management with occasional call center environment.Monitor employees to make certain that policies and procedures are being adhered toUtilize the computer database in order to verify and document information.Answer incoming calls from patients and healthcare staff regarding medical claims.Recruit, interview and staff potential attendants on a daily basis.Update caseworkers on all clients' status and hospitalizations.