DORELL TOLBERT
ad3wri@r.postjobfree.com
New Orleans, LA, US
www.linkedin.com/in/dorell-tolbert
EXPERIENCE
DISABILITY SPECIALIST l/ DISABILITY ANALYST-CLAIMS
SEDGWICK CLAIMS MANAGEMENT SERVICES- REMOTE
2023-05 -12-2023
Ensure timely processing of leave requests for employees under FMLA and PFL guidelines. Verified that all necessary documentation was received for claims. Manage claim notation, send documents, respond to emails and calls, and set up new claims. Conducted prompt processing of approvals and denials. Investigate and determine eligibility, calculate proper benefit payments, and confirm correct medical terminology, CPT, and ICD codes utilized. Pay attention to detail, self-manage, and prioritize time and claim management. Contribute to the team's productivity and efficiency, and ensure best practices for FMLA, PFL, and Carer's claims
LOA (Leave of Absence) COORDINATOR -CLAIMS
SEDGWICK CLAIMS MANAGEMENT SERVICES – REMOTE
Processed employee's leave according to FMLA and PFL guidelines. Verified documentation for claims and managed claim notation. Determine eligibility, calculate benefit payments, set up new claims, and monitor benefit balances. Executed detail-oriented review of data, followed up with claimants, managed time effectively, and ensured proficiency in claim management. Contribute to team productivity and ensure best practices for FMLA, PFL, and Carer's claims.
MEDICAL PAYMENT ASSOCIATE -CLAIMS
DIVERSE LYNX, LLC- REMOTE (CAS-AAA)
Reported to the Personal Injury Protection (PIP) Manager and set up files in the CAS system. determine if subrogation or adjudication applied to each claim. Setting up files and assigning adjusters. Updating insured files, identifying wage loss expenses, documenting medical reports, and interacting with claimants, witnesses, lawyers, and physicians. Also, determining reserve requirements, advising the insured, and contributing to team productivity.
ADMINISTRATIVE ASSISTANT II
LANCESOFT INC-REMOTE-(T-MOBILE)
Supported the executive team with admin tasks such as scheduling meetings and managing calendars. organized and maintained accurate and confidential filing systems for physical and electronic documents. Greeted visitors and directed them to the right personnel while composing various written correspondence for management staff.
UNDERWRITER'S ADMINISTRATIVE ASSISTANT
ENDEVIS INC- REMOTE
Updated documents, managed databases, and maintained professional relationships with Real Estate agents in my territory. Ensured timely adherence to correspondence and best practices with attention to detail.
EXECUTIVE -ADMINISTRATIVE ASSISTANT
SVTronics Inc
Reviewed and processed expense reports organized executive calendars, and travel. Provided secretarial support and developed filing systems to maintain confidential records of personnel information and business activities per company policies. Hosted, and scheduled tours of facilities.
ADMINISTRATIVE ASSISTANT - REMOTE (Volunteer work)
Just for Me Furniture
I provided support as an administrative assistant for the online retail team by answering calls and directing them to the appropriate personnel. Also maintained filing systems for electronic documents and composed written correspondence as required by the management staff.
ADMINISTRATIVE ASSISTANT III
El Centro College-DCD
Supported the executive team by scheduling meetings, making travel arrangements, and procurement. Managed bids, invoices, and calendars. I organized and maintained confidential filing systems for both physical and electronic documents. Greeted visitors and composed written correspondence as required. Also managed and trained student workers.
DEPARTMENT ASSISTANT II
Brookhaven College-DCD
Diligently prepared departmental budgets and carefully tracked spending, while also creating detailed reports to help track and analyze departmental performance. Expertly oversaw the daily operations including, proofing contract verbiage, researching prevailing wages, scheduling meetings, and efficiently coordinating resources. Provided exceptional administrative support for staff members, confidently creating presentations, and easily organizing documents.
CIRCULATION ASSISTANT II
Brookhaven College-DCD
Library management, including coordinating interlibrary loan requests, managing inventory control processes, and promoting library events. Prepared eye-catching displays to promote new books and authors.
SOCIAL MEDIA CONTENT REVIEWER
Genpact
Reviewed and evaluated content for accuracy, quality, and appropriateness, analyzing for potential copyright infringement issues. Documented my findings in a detailed report, created guidelines and procedures related to the review process, and completed projects for a high-profile social media client under a non-disclosure agreement.
CLIENT SERVICES COORDINATOR/CONCIERGE
Premier Workspaces
Supported as an acting manager, I served as an in-house notary, implemented new procedures, and maintained social media content and ads. Duties also included processing mail, light data entry, and creating templates using Microsoft applications. Produced billing and revenue reports, trained office workers, scheduled appointments, planned client events, coded access cards, made work orders, processed clients' checks, and compiled files and contracts. I improved productivity and increased revenue through social media ads and played an active role in client retention and acquisition
Department of Social and Health Services (DSHS)
OFFICE ASST. III (non-perm status)
Processing mail, eligibility documents, and assisting. Index forms and verification documents,
sort supporting documentation, and scan, upload, and route documents to case managers.
I work with homeless and disabled clients, screening and helping them access programs and aides.
Department of Social and Health Services (DSHS)
FORMS & RECORDS ANALYST III (non-perm status
Ensured timely delivery of records requests related to CPS cases to abuse and foster cases. Researched, records retrieval, background investigation, and redacted information as it related to the requestor's specific need and relation to each records request. Data Entry, redacting, researching, and fact-checking. Adhered to HIPPA and PHI and privacy laws.
FEMA (Department of Homeland Security)
SUPERVISOR EMERGENCY CALL CENTER
Led and coordinated a 30-member team's activities, including schedules, timecards, QA testing, call monitoring, and training. Supervised updates of scripts and operational manuals. Scheduled training and inter-department briefing. QA retention, and inter-department briefing. Prioritized vital information, and ensured the text flowed easily.
Education
Bachelor of Science, Walden University Coursework in Psychology G.P.A. 4.0
Skills
Project management Data analysis Communication
Organization Problem-solving Claims Management
Remote Worker Windows XP light Data- Entry
Novell (GroupWise) Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook)
Datatel, Track-It (work order) Application Avaya phone system, CAS, WUN phone system, 35 wpm typing, Slack, Zoom, Completed Human Resource courses in LinkedIn Learning, Google Suite/Workspace, Social Media Content, Invoicing, Property Manager System, some AP, and AR work. ATS (iCIMS), ADP, CAS, HIS, LIS, Medical Terminology, ICD and CPT coding proficiency, Human Anatomy, rationale notating, EHR, HIPPA, bid letters, content creation, branding, and event planning. Cisco, Avaya, WUN phone, and integrated multi-lined and switchboard systems. Quality Assurance: Monitored and assessed metrics and KPIs of CSR ‘s was met in a call center environment. Training/ Proctoring/ Orientation/ Onboarding/Offboarding: Participated in the training of new hires, proctoring, and administering tests, as well as facilitated orientations. Assist with onboarding/ offboarding of new hires. Event Planning /Team Building: Effectively proven ability to create events for clients and develop team-building activities. Duality handling projects/tasks: Contributes well to a team as well as alone on projects/tasks given. Task-Oriented & Detail-Oriented: Executes tasks using time management, prioritizing always with a sense of urgency, and meticulous in paying attention to details. Logistics: Procurement/ Scheduling. Document-centric: Data Entry/ Proofreading. Privacy and Data Security: CompTIA.