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Aetna Life Insurance Company - Manager Resume Example

Mia Cook
XXXXX XXXXX XXXX, Cooper City, FL 33328
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXX
Summary
Accomplished, energetic Operations Manager with a solid history of achievement in Short-Term and Long-Term Disability and Family and Medical Leave of Absence.  Motivated leader with strong organizational and prioritization abilities. Areas of expertise include time management, problem solving and decision making.
Skills
  • Administration and Management
  • Critical Thinking
  • Judgment and Decision Making
  • Time Management
Experience
Manager Apr 2004Present Aetna Life Insurance Company Plantation, Florida
  • Manage 5 highly customized accounts averaging 20k covered lives.
  • Manage staff of 12 individuals to exceed Quality and Performance metrics of 98%
  • Lead weekly meetings with internal departments including behavioral health, clinical, social security and vocational rehabilitation.
  • Developed process and strategy around Strategic Claim Discussion meetings which include clinical, vocational, social security and management.
  • Lead individuals to achieve and maintain performance standards of 98 - 100% accuracy in the areas of coding, claim management, financial accuracy and communication.
  • Measure and assess productivity based on complexity of the account, average caseload, and process efficiency. 
  • Organize and participate in sales finalist presentations for both new and existing customers, account audits and customer site visits.
  • Hire staff.
Appeals Specialist III Jun 2001Apr 2004 Aetna Life Insurance Company Plantation, Florida
  • Maintain average caseload of 25 appeals for the Federal Express Short Term Disability and Long Term Disability Account.
  • Prepared and presented appeals to staff peer physicians for review and consultation.
  • Coordinate and schedule Independent Medical Evaluations, Functional Capacities Evaluations and Nurse Field Care Management.
  • Answer telephone calls from doctor's offices, attorney offices and employees and provide education around the appeal process, timeliness for decision and requirement for clinical information.
  • Finalize appeal files for presentation to the Federal Express Appeals Committee.
Payroll Coordinator Oct 1996Jan 2001 Aetna Life Insurance Company Plantation, Florida
  • Maintain 100% accuracy in managing payroll entries for team of 6-8 Disability Benefit Managers.
  • Reduced payroll over-payments by $700k by maintaining performance metrics of 100% accuracy on all payroll entries.
  • Monitor and assess claims with hourly part time return to work.
  • Enter W-4 information into the payroll system.
  • Exceeded expectations of 100% timeliness on all payroll.
Administrative Assistant Oct 1995Jan 1996 Aetna Life Insurance Company Plantation, Florida
  • Mail, fax or arrange for delivery of medical correspondence to attorneys, employees or peer physicians.
  • Organize and maintain adequate supplies for over 50 staff members.
  • Trained and mentor newly hired administrative assistants.
  • Make photocopies of correspondence, documents, and other printed material.
Education
Bachelor of Science : Business Administration Strayer University Business Administration, 2017
GPA 4.0
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Resume Details

This is a real resume for a Manager in Cooper City, Florida with experience working for such companies as Aetna Life Insurance Company. This is one of the hundreds of Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Manager resume.

Previous Companies:

  • Aetna Life Insurance Company

Previous Job Positions:

  • Manager
  • Appeals Specialist III
  • Payroll Coordinator
  • Administrative Assistant

Schools:

  • Strayer University

Level of Education:

  • Bachelor of Science

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