-- Manages a portfolio of Pre-Litigation Employment Practices Liability Claims.-- Extensive experience in reviewing insurance contracts to assess coverage and write Reservation of Rights letters.-- Creates liability analyses to assess potential Loss exposure.-- Assigns and Partners with Defense Counsel to obtain claim resolutions, which can involve settlement offers and attending mediations.-- Maintains relationship with Insured client contacts to address their needs.-- Prioritizes work via a task-based system to ensure all claims are kept up-to-date.

-- Supervises a team of Disability/Absence Management Specialists and a Team Lead. -- Responsible for the interviewing, hiring and training of new Disability Specialists.-- Leads weekly team meetings and monthly 1:1 meetings with direct reports. -- Performs yearly performance reviews, ratings and merit increases of direct reports.-- Monitors reports for case volume, ERISA compliance, phone calls, task lists, decision metrics and performance guarantees - and holds employees accountable for their performance. -- Attends client meetings and implementation meetings.-- Serves as the Short-Term Disability expert for special projects and corporate initiatives. -- Handles escalated issues from customers. -- Writes and maintains Short-Term Disability process documents.-- Performs audits of Disability Specialists’ case decisions, denial letters and medical reviews.-- Collaborates with other teams within the organization, including Leave, Vocational, Clinical Case Manager, Intake and Implementation Team to discuss initiatives.-- Has extensive experience managing all aspects of Short-Term Disability cases, including: reviewing policies, determining eligibility, following ERISA guidelines, making initial assessment calls, contacting providers, reviewing medical records, writing decision strategies, writing decision letters/e-mails and facilitating employees’ returning to work, with or without restrictions. -- Understands FMLA regulations.

--Managed a half caseload of Shor-Term Disability Specialist, in addition to other duties.

--Managed a half caseload of Shor-Term Disability Specialist, in addition to other duties.

-- Managed a full caseload of Short-Term Disability claims, which involved reviewing policies, determining eligibility, following ERISA guidelines, making initial assessment calls, contacting providers, reviewing medical records, writing decision strategies, writing decision letters/e-mails and facilitating employees’ returning to work, with or without restrictions.

-- Reviewed Short-Term Disability cases and determined employees’ eligibility for disability pay. -- Managed a caseload of up to 150 cases (for up to 20 clients) at a time from start to completion. -- Made frequent calls to claimants, reviewed medical records, and issued payments.

– Reviewed financial reports and invoices to correct discrepancies between payments & inventory.– Maintained a portfolio of clients for whom I would adjudicate payment/inventory errors.