Search Resume Examples

BROADSPIRE - Team Manager Resume Example

Customize this Resume
Logan White
XXXX XXXXX XXXXX XXXXXX, Lithia Springs, GA 30122
Ph: XXXXX XXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX
Summary

Seasoned [Job Title] with more than 20 years of experience in fast-paced claims environment. Excellent analytical, communication and project management skills. Track record of achieving exceptional results in forecasting, problem solving, team building and project managing.

Skills

Analytical and able to see the overall picture of a project or task  Ability to forecast issues and solve problems

Full understanding of a project life cycle Ability to communicate effectively to stakeholders, upper management, front line staff  

Ability to multi task Strong team player

Technical skills that help bridge the gap between operations and ICT 

Experience
Team Manager, Disability and Leave Operations Aug 2014Present BROADSPIRE
  • Defined disability and leave process flows 
  • Documented the disability best practices 
  • Lead the build out of automate tasks within the disability system 
  • Assisted the project team responsible for establishing the disability and leave department 
  • Responsible for providing system demo to stakeholders, peers, and new business 
  • Documented business system specifications for enhancements 
  • Provided system testing of enhancements and new releases.
  • Manage staff, preparing work schedules and assigning specific duties.
  • Determine staffing requirements, and interview, hire and train new employees, or oversee those personnel processes.
Disability Representative Sr/ Interim Team Coordinator Dec 2010Aug 2014 SEDGWICK CMS
  • Managed data integrity reports; distributes reports to appropriate examiners and ensures claim updates were made Triage new claims assigned to case managers for claim management Review case managers claims to ensure appropriate benefits applied pursuant to the disability plan Assist case managers with questions regarding disability plans First point of contact for escalations Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to the disability plan.
  • Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions.
  • Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.
  • Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.
  • Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
  • Evaluates and arranges appropriate referral of claims to outside vendors for surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
  • Refers cases as appropriate to supervisor and management.
  • Maintains professional client relationships.
  • Manages data integrity reports; distributes reports to appropriate examiners and ensure claim updates have been made.
Administrative Assistant Jan 2009Dec 2010 SPELMAN COLLEGE
  • Coordinate and perform a range of staff as well as operational activities for the department; serve as a liaison with students, faculty and operating units in the resolution of day-to-day administrative and operational problems.
  • Maintain some databases to track listing of current department majors, enrollment of courses, and room assignments.
  • Initiate means of overcoming challenges to smooth operation of regular departmental activities and operations (e.g.room conflicts).
  • Answer phone calls and direct calls to appropriate parties or take messages.
  • Attend meetings to record minutes.
  • Compile, transcribe, and distribute minutes of meetings.
  • Greet visitors and determine whether they should be given access to specific individuals.
  • Perform general office duties, such as ordering supplies, maintaining records management database systems, and performing basic bookkeeping work.
  • Make travel arrangements for executives.
  • Prepare agendas and make arrangements, such as coordinating catering for luncheons, for committee, board, and other meetings.
  • Make copies of correspondence or other printed material.
  • Maintain scheduling and event calendars.
Claims Dispatch Supervisor Mar 2007Nov 2008 UTILIQUEST, LLC
  • Supervised personnel including monitoring incoming/outgoing call volume, personnel issues, provide counseling, coaching and staff development.
  • Prepare daily, weekly and monthly reports to ensure pending damages were complete and any open claims over 2 years were reviewed and closed.
  • Resolve disputes with internal and external customers.
Business Coordinator II/Team Leader/Recruiter Feb 1990Feb 2007 BROADSPIRE SERVICES INC ( formally Kemper National Services)
  • Supervised approximately 10 employees, monitoring daily work flows and activities.
  • Analyze team statistics and mail volume.
  • Review resumes to ensure candidates have required skills set and administer any testing required.
  • Maintain staffing reports to ensure the department is equipped with adequate staff in accordance with budgeted goals.
Disability Claims Examiner Aug 2003Nov 2004 BROADSPIRE SERVICES INC
  • Adjust and supervise assigned claims on an ongoing basis to achieve goals and objectives.
  • Investigate, secure and analyze information pertaining to claimants medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for and entitlement to disability benefits.
  • Develop and execute a disability management strategy for each claim to appropriately contain claim liability and provide responsive customer service.
Training Facilitator/ Supervisor I Nov 2000Aug 2003 BROADSPIRE SERVICE INC
  • Create and update Standard Operational Procedures and workflows.
  • Plan, develop, conduct and evaluate comprehensive training sessions according to state jurisdictions.
  • Train Billing Analysts to code medical claims on HCFA 1500 and UB82 forms utilizing the appropriate modifiers, International Classification of Disease {ICD9} and Current Procedural Terminology {CPT} codes to assure accurate billing for services rendered.
  • Apply rules and regulations according to state specific rules or Usual and Customary rates.
  • Process re-evaluations for claims inaccurately reimbursed claims and refund checks for claims that were overpaid.
  • Evaluate and identify training opportunities.
  • Work with the Project Team and Management to test and implement new projects and systems.
  • Identified and advised management of areas of opportunity, and recommended course of action.
  • Compiled, reviewed and analyzed reports and took appropriate action.
  • Maintained contact with the client on claims and promoted a professional client relationship.
FMLA Coordinator Nov 1999Nov 2000 BROADSPIRE SERVICES INC
  • Coordination and facilitation of client's return to work in timely and efficient manner.
  • Verified data (date of hire and hours worked) used to determine FMLA eligibility.
  • Provide leave options available to employees not eligible for FMLA.
  • Enter time requested off for Continuous FMLA and per pay period time & attendance information for Intermittent FMLA.
  • Coordinate the return to work process with the employee and manager when the leave expires, assessing whether a functional capacity evaluation is needed for return to work.
  • Respond to employee & management questions per email, telephone, and/or in person, using excellent customer service skills.
  • Consistently update FMLA files to accurately reflect leave status and ensure that appropriate diary documentation exists.
Training Facilitator/ Supervisor I Oct 1995Nov 1999 BROADSPIRE SERVICES INC
  • Create and update Standard Operational Procedures and workflows.
  • Plan, develop, conduct and evaluate comprehensive training sessions according to state jurisdictions.
  • Train Billing Analysts to code medical claims on HCFA 1500 and UB82 forms utilizing the appropriate modifiers, International Classification of Disease {ICD9} and Current Procedural Terminology {CPT} codes to assure accurate billing for services rendered.
  • Apply rules and regulations according to state specific rules or Usual and Customary rates.
  • Process re-evaluations for claims inaccurately reimbursed claims and refund checks for claims that were overpaid.
  • Evaluate and identify training opportunities.
  • Work with the Project Team and Management to test and implement new projects and systems.
  • Identified and advised management of areas of opportunity, and recommended course of action.
  • Compiled, reviewed and analyzed reports and took appropriate action.
  • Maintained contact with the client on claims and promoted a professional client relationship.
Medical Billing Analyst/Medical Claims Processor Feb 1990Oct 1990 BROADSPIRE SERVICES INC
  • Conduct routine audits of workers' compensation claims.
  • Communicate with Supervisor any work flow changes.
  • Enter medical data into automated claims processing system.
  • Consulted Billing Analyst with any problems concerning denial/payment of claim.
Education
High School Diploma Miami Central Senior High School
Organizational Management Ashford University Organizational Management
Love this resume? Customize this Resume

Resume Details

This is a real resume for a Team Manager in Lithia Springs, Georgia with experience working for such companies as Broadspire, Sedgwick Cms, Spelman College. This is one of the hundreds of Team Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Team Manager resume.

Previous Companies:

  • BROADSPIRE
  • SEDGWICK CMS
  • SPELMAN COLLEGE

Previous Job Positions:

  • Team Manager
  • Disability and Leave Operations
  • Disability Representative Sr
  • Interim Team Coordinator
  • Administrative Assistant

Schools:

  • Miami Central Senior High School
  • Ashford University

Level of Education:

  • High School Diploma

The Easiest Way to Create a Professional Resume.

Create a job-winning resume in minutes.

create your resume

Similar Resumes

View More

Home Attendant

Bronx County, New York

Companies Worked For:

Kirby vacumms, Eagle Home Care, McDonalds, CTown S...

Supply Sergeant

Cedar Falls, Iowa

Companies Worked For:

Iowa Army National Guard, Target

Manager

Novi, Michigan

Companies Worked For:

Empire, Grizzley Gang LLC, COIN HANDLERS LLC, ER O...

Field Inspector

Las Vegas, Nevada

Companies Worked For:

24Hr Services, Target Retail, Quality Mortgage Ser...

Product Management G...

Cincinnati, Ohio

Companies Worked For:

Standard Textile through Staffmark, Luxottica, Sun...

RECRUITER

Independence, Missouri

Companies Worked For:

Missouri Army National Guard, Verizon Authorized R...

Team Leader

Rochester, New York

Companies Worked For:

Career Start, United States Army Reserves, United...

Patient Access Repre...

MIAMI, Florida

Companies Worked For:

UNIVERSITY OF MIAMI DIVISION OF ENDOCRINOLOGY, UNI...

Get Started on Your Job-winning Resume Today!

Get all the help you need to create a professional resume in minutes. Includes thousands of pre-written examples for hundreds of jobs.

create your resume
Get Started on Your Job-winning Resume Today!