Shawn Case

Shawn Case Email and Phone Number

Medical Underwriting Manager @ New York Life Insurance Company
Allentown, PA, US
Shawn Case's Location
Allentown, Pennsylvania, United States, United States
Shawn Case's Contact Details

Shawn Case personal email

n/a
About Shawn Case

Shawn Case is a Medical Underwriting Manager at New York Life Insurance Company. They possess expertise in time management, conflict resolution, sas, javascript, microsoft office and 3 more skills.

Shawn Case's Current Company Details
New York Life Insurance Company

New York Life Insurance Company

View
Medical Underwriting Manager
Allentown, PA, US
Company phone:
212-576-7000
Company email:
socialmedia@newyorklife.com
Shawn Case Work Experience Details
  • New York Life Insurance Company
    Medical Underwriting Manager
    New York Life Insurance Company
    Allentown, Pa, Us
  • New York Life Insurance Company
    Medical Underwriting Manager
    New York Life Insurance Company Jan 2021 - Present
    New York, New York, Us
    **This job is the same as with Cigna, see enclosed article regarding our department acquisition-Delegate daily work types to the medical underwriting team-Review incoming applications and confirm that tasks will continue to be finished within the turnaround times as guaranteed to clients-Assign underwriters to summer projects that will update, improve and review our current risk acceptance processes-Work with other department managers to be sure that all procedures done by each team allow quick completion of application review and clear communication of underwriting decisions-Assist the risk management team in conducting monthly quality review checks on underwriters to ensure we are not making errors that result in costumer impact or risk assessment-Provide monthly status of quality review score and production levels to underwriters for comparison to goals set for their position-Assign high performing team members to mentor other less experience underwriters-Assign incoming appeals and complaints to underwriters or risk management team based on the content submitted in response to adverse decisions-Conduct performance reviews for year-end compensation as well as yearly check-ins. This may include more frequent follow-ups to address work concerns and give notice to underperforming underwriters-Create plans for personal improvement to team members based on identified strengths and weaknesses-Assisted the management team is creating and running an in department summer leadership and professional skills program when our open enrollment work is slower-Attend meetings with vendors that are utilized in the underwriting process including lab work, prescription record and medical data providers-Help with the review of complex files that the initially assigned underwriter is uncertain of how to move forward-Provide professional development to the team (underwriting training, job shadowing, etc.)
  • Cigna
    Medical Underwriting Manager
    Cigna Aug 2020 - Jan 2021
    Bloomfield, Ct, Us
    -Delegate daily work types to the medical underwriting team-Review incoming applications and confirm that tasks will continue to be finished within the turnaround times as guaranteed to clients-Assign underwriters to summer projects that will update, improve and review our current risk acceptance processes-Work with other department managers to be sure that all procedures done by each team allow quick completion of application review and clear communication of underwriting decisions-Assist the risk management team in conducting monthly quality review checks on underwriters to ensure we are not making errors that result in costumer impact or risk assessment-Provide monthly status of quality review score and production levels to underwriters for comparison to goals set for their position-Assign high performing team members to mentor other less experience underwriters-Update the authority limits of underwriters to review high dollar requests based on consistent performance-Assign incoming appeals and complaints to underwriters or risk management team based on the content submitted in response to adverse decisions-Conduct performance reviews for year-end compensation as well as yearly check-ins. This may include more frequent follow-ups to address work concerns and give notice to underperforming underwriters-Create plans for personal improvement to team members based on identified strengths and weaknesses-Assisted the management team is creating and running an in department summer leadership and professional skills program when our open enrollment work is slower-Attend meetings with vendors that are utilized in the underwriting process including lab work, prescription record and medical data providers-Help with the review of complex files that the initially assigned underwriter is uncertain of how to move forward-Provide professional development to the team (underwriting training, job shadowing, etc.)
  • Cigna
    Senior Medical Underwriter
    Cigna Jul 2018 - Jul 2020
    Bloomfield, Ct, Us
    -Review evidence of insurability forms for Life, Long Term Disability and Short Term Disability insurance-Request and review blood and urine labs and medical records-Process pharmacy records obtained through the Milliman database-Use reinsurance underwriting manuals to rate the severity of applicant medical histories-Review appeals submitted for work items that were previously declined or postponed-Report trends such as duplicate work items or work items pending zero dollars requested-Respond to emails from the call center regarding questions from applicants-Participate in department meetings to determine if our guidelines require updates-Have an understanding of disability policy factors such as pre-existing conditions and elimination periods-Proposed, coordinated and managed project to update guidelines for disability files with pre-existing condition clauses-Assisted processing team with evidence of insurability submissions
  • Guardian Life
    Ltd Claims Case Manager Ii
    Guardian Life Sep 2014 - May 2018
    New York , Ny, Us
    -Conduct claim interviews with plan holders and insured employees-Take incoming phone calls from claimants and plan holders to discuss policy and claim questions -Review medical records for restrictions and compare them to the claimant’s occupational requirements-Keep accurate ICD10 medical codes on file to assist in accuracy for actuarial department-Communicate with the underwriting department to confirm accurate policy details for group plans-Conduct pre-existing condition and evidence of insurability reviews to verify qualifications for coverage-Discuss claim details with Registered Nurses to determine supported restrictions of claimant’s diagnosis-Review claimant experience and education history for Vocational Rehab Specialists-Provide resources to assist with Social Security Disability applications-Complete calculations for salaries, part-time earnings, overpayments and survivor benefits
  • Dorney Park & Wildwater Kingdom
    Games Department Supervisor
    Dorney Park & Wildwater Kingdom May 2011 - Nov 2014
    Allentown, Pa, Pennsylvania, Us
    A broad range of responsibilities among which were: • Create commission and incentive opportunities for employees. • Analyze underperforming games and develop potential solutions. • Conflict resolution between employees and customers. • Money collection for bank deposits up to $100,000. • Generate weekly work schedule for all 35 employees under my supervision. • Promote sales within the games department. Three summers of full-time employment resulted in three job promotions.
  • Millersville University
    Dining Hall Student Worker
    Millersville University Sep 2010 - May 2013
    Millersville, Pa, Us
  • Popcorn-To-Go
    Cook And Cashier
    Popcorn-To-Go May 2007 - Sep 2010

Shawn Case Skills

Time Management Conflict Resolution Sas Javascript Microsoft Office Communication Leadership Teamwork

Shawn Case Education Details

  • Millersville University Of Pennsylvania
    Millersville University Of Pennsylvania
    Actuarial Science

Frequently Asked Questions about Shawn Case

What company does Shawn Case work for?

Shawn Case works for New York Life Insurance Company

What is Shawn Case's role at the current company?

Shawn Case's current role is Medical Underwriting Manager.

What is Shawn Case's email address?

Shawn Case's email address is sh****@****gna.com

What schools did Shawn Case attend?

Shawn Case attended Millersville University Of Pennsylvania.

What are some of Shawn Case's interests?

Shawn Case has interest in Coaching And Playing Baseball.

What skills is Shawn Case known for?

Shawn Case has skills like Time Management, Conflict Resolution, Sas, Javascript, Microsoft Office, Communication, Leadership, Teamwork.

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