Stacey Peck Email and Phone Number

Makes independent decisions in managing assigned caseload of the most complex cases.Independently assess, analyze and render appropriate claim decisions, consistent with the applicable plans and federal and state law, to maintain appropriate and timely claim outcomes.Participates in hew hire onboarding as well as one on one coaching, mentoring and development to maximize their abilities related to claim decision making and service delivery.Serves as an extended leadership team member, providing direct support to Unit Leaders, and partners with leadership team to meet project goals related to quality, timeliness, and customer service and staff development.Provides feedback to leadership team on individual, team, customer or site performance.Focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Handle the most complex claims and be a leader and mentor within the site for claim management. A technical expert and an emerging leader who is a change agent Participate in various continuous improvement projects to provide input on new ideas or designs influencing how MetLife manages claims and service customers. Considered to be the highest level individual contributor resource that manages claims within the LTD organization

Responsible for overseeing cases, tracking deadlines, submitting documents, drafting documents, preparing and filing misdemeanor and felony court pleadings; speaking with clients, opposing counsel, court staff, and probation officers; and managing attorneys' calendars and interviewing clients. Accepting payments and managing accounts receivable; preparing case files for court appearances' responsible for: assisting with casework; attending clients, taking instructions and preparing cases; dealing with correspondence; maintaining accurate time costing procedures; implementing any recommendations made by your supervisor following monthly file reviews ensuring that these are dealt with promptly; and ensuring compliance with file management.

Continuing all listed job duties from being an STD claims case managerManage an inventory of claims to evaluate compensability/liabilityCommunicate with claimants, employers and various medical professionals regarding the ongoing management of Long Term disability claimsEstablish action plan based on case facts, best practices, protocols, regulatory issues and available resourcesNegotiate settlement within authority limits; escalate to team manager as appropriateEvaluate and refer appropriate claims to risk management resources such as Vocational Rehabilitation, Managed Care, Fraud, and Social SecurityManages assigned workload of short-term disability (STD) claims and federal, state and/or customer-defined leave requests within the established customer service, production, and quality standards.Applies the appropriate contractual provisions, legal guidelines, case management resources, claim procedures, concepts, principles, and protocols to manage claims to the appropriate outcomes.Communicates with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of STD and leave benefits.Makes initial and ongoing benefit decisions and approves or denies benefits within established guidelines.Evaluates and refers appropriate claims to risk management resources such as Vocational Rehabilitation, Managed Care, Fraud, Social Security, Second Opinion and Subrogation.Serves as primary contact for customer inquiries and participates in meetings to review claim and leave decisions, and educate employer on program administration.May be assigned to provide guidance and mentoring to others and projects assigned at manager's discretion.

Conduct daily screening interviews with potential clients to determine whether they have a viable claim for disability which includes investigating that person as well as their case; Inside sales case manager along with client retention; Manage 250-350 client files at one time; Complete and file all Social Security Disability paperwork; Daily communication with current and potential clients; Make the final decisions as to which cases the law firm chooses to take after a complete review of all medical evidence available; Complete, review, and submit all disability questionnaires received from clients; Review and submit medical records; Review client files to prepare them for a hearing (mini-trial); Conduct weekly meetings regarding office procedures and ways to improve on those procedures; Complete all work-ups of current client files within the office; Resolve all issues with clients as well as their files

before and after school program-August 2009 to May 2011 – File and input data into the computer systems, prepare paperwork for parents, resolve issues, prepare daily schedules for the children and employees, process and manage payments, monitor and supervise co-workers.

before and after school program-August 2005 to August 2009 – Provided daily care to children, made sure the environment was safe and caring, enhanced social skills and assisted the children with homework or problem areas. Was the lead assistant in the classrooms, trained new employees, customer service, organized daily activities for the children, resolved issues between the children and advised parents when applicable.