Remote LOA Claims Manager MN/Remote

Angela Baumann

LOA Case Manager (PR), Amazon

Belle Plaine, MN

************@*****.***

Work Experience

LOA Claims Manager (PR)

Amazon.com Virtual MN

December 2020 to March 2026

• Manage & Review Disability / FMLA and Statutory Claims

• Confirm Medical Information to Continue or Suspend Benefit Coverage

• Communicated with Hospitals / Physician Offices to gather / affirm / clarify medical information regarding Disability, FMLA and statutory qualifications

• Read / Enter Medical forms, and medical records

• Note Claims with Proper Diagnosis' Codes

• Discuss Payment Checks with Employees

• Direct Calls to Benefit Specialist Dept., and other Benefit Programs.

• Internal / External Communication between Departments, and other Benefit Programs DCM Claims

DCM Services Richfield, MN

August 2018 to December 2020

Process, print and sign and mail filings of Estate Claims with for debt collection with county and Estate Executor. Sr. Disability Representative - GE Division

Sedgwick CMS Eden Prairie, MN

February 2006 to February 2018

• Manage & Review Disability / FMLA Claims

• Confirm Medical Information to Continue or Suspend Benefit Coverage

• Communicate with GE Disability Leads on Regular Basis

• Communicated with Hospitals / Physician Offices to gather / affirm / clarify medical information regarding Disability., and FMLA qualifications

• Read / Enter Medical forms, and medical records

• Note Claims with Proper Diagnosis' Codes

• Discuss Payment Checks with Employees

• Direct Calls to Benefit Specialist Dept., and other Benefit Programs.

• Internal / External Communication between Departments, and other Benefit Programs Sr. Customer Service Representative - GE Division

Sedgwick CMS Eden Prairie, MN

April 2000 to February 2006

• Set-up Short Term Disability Claims

• Note claims with updates received from the Employees, Business Representatives

• Discuss payment checks with employees

• Internal / External Communication between Departments, and other Benefit Programs

• Various clerical Duties: Fax, File, Copy, Mail delivery PMI Specialist

Wells Fargo Bloomington, MN

August 1997 to April 2000

• Prepare written response to Homeowners in Escalated issues

• Re-Format, and write requirement letters for New Investors

• Complete assigned tasks within compliance

• Manage incoming / outgoing calls to Homeowners

• Complete, and send Cancellation Requirement Letters

• Order Property Appraisal through Value-IT through Netscape system

• Order Broker's Price Opinion (BPO) on FHLMC Website

• Update system notes on accounts

• Advised Homeowners of additional Principal payments needed

• Set-up tasks to Escrow Dept. for analyzing mortgage payments

• Researching potential Mortgage Insurance Disclosure Issues

• Various clerical duties, Internal / External Customer Service via phone, email, postal service

• Assist in coverage of Front Receptionist as needed

• SME for the Customer Centric "Project Touchdown"

• Various Clerical Duties: Fax, File, Copy, Mail Delivery Wholesale / Closing Specialist & Jr. Wholesale Funding Rep Wells Fargo Bloomington, MN

February 1996 to August 1997

Wholesale Division

• Set-up Closing Dates for the LPS file

• Call Broker / Title Company in request of Closing Package (TIL, GFE, NOTE, HUD-1) information

• Organize LPS files for closing

• Assist Closers with Preparation of the LPS Files

• Order PMI (Private Mortgage Insurance)

• Handle DTF (Daily Fund Transfers)

• Register new NLPS & LPS Credit Files, Check Docs for Compliance

• Verify Site Draft Checks with Treasury Report

• Review Daily Shipping / Collateral Reports for Customer Service

• Enter / Match all Shipping / Collateral Packages

• Set-up / Monitor File tracking reports.

• Assist. Supervising the Temporary Employees

• Assist Regional Managers, Supervisors, Underwriters, and Customer Service with Clerical Duties. During the event of an Absence within the Dept.

• Cover Sr. Funding Transactions duties

• Cover Receiving Representative duties

• Cover all Wholesale Delivery Representative. duties

• Cover all Data Entry Representative / Receptionist Duties Case Manager

Education

Normandale Community College

1995 to 1996

Burnsville Sr. High School

1994

Upper secondary education

High school diploma or GED

Skills

Cross-functional communication Cross-functional collaboration Client interaction via phone calls Correspondence management Salesforce Word processing Computer literacy Handling insurance claims Mortgage servicing Phone answering Customer communication Escalation handling Office activity coordination Task prioritization Team development Maintaining patient confidentiality Phone call management Technical Proficiency Grammar Experience Content Management Systems Organizational skills Microsoft PowerPoint Analytics RETAIL SALES Mobile devices Math Basic math Patient safety Interpersonal skills Travel planning Stakeholder relationship building WordPress Customer complaint resolution Loan origination Google Drive Proofreading Computer operation Google Calendar Payment posting in medical billing systems ICD-10 HCPCS Data reporting Customer relationship building Zoom Analysis skills Data entry Databases Process improvement Vendor relationship building Customer relationship management Accounts receivable Escrow Call center experience Outbound calling Case management Administrative experience Time management Cleaning Customer retention HIPAA Typing Microsoft Windows First aid Clerical experience Lending Bank transfers Client relationship development Accounting and finance experience Healthcare compliance Performance Improvement (PI) Intake Receptionist Credit card payment processing Retail sales transactions clerical Google Docs Community engagement PeopleSoft Team motivation (leadership skill) Medical terminology Sales Microsoft Word Continuous improvement Regulatory compliance Computer skills Google Workspace Managing patient records Patient interaction Office experience Data validation Financial record maintenance Live chat Chart (Excel) Teamwork Salesforce Cloud Excel data analysis Banking product expertise Managing customer accounts Front desk Research Deposits Phone etiquette Customer service Office supply management Employee relations Microsoft SharePoint Conflict management Training & development Medical records Microsoft Outlook Compliance with loan regulations Meeting agenda preparation Anatomy knowledge Insurance claim processing Microsoft Office Productivity software Phone communication Industry knowledge of financial regulations Microsoft Excel EDI Decision making Project stakeholder communication Electronic health records (EHR) management Writing skills Assembly Stakeholder management Accounting Google Sheets Counting cash Record keeping ICD-9 Calendar management Leave management Customer inquiry handling Customer support Telecommunication Lead generation Opening bank accounts Attention to detail Written communication Documentation review

Languages

English

Certifications and Licenses

Driver's License

Additional Information

Authorized to work in the US for any employer

Skills

Understanding of the following systems: Juris (Sedgwick), TAMS (Sedgwick), Nucleus/IBD-3 (Sedgwick), Diamond

(Sedgwick) & EDGE - CIP. LIS - NLSP (Norwest/Wells Fargo), Alltel - CIP (Norwest/Wells Fargo), Windows 2000, 1998, 1995, Word / Excel 2010, Outlook, Web access

Various Clerical Duties: Create / Improve Process / Programs, Data Entry, Database Management, Report Generation / Review, Manual Process Preparation, Creation Tracking Logs, Internal / External Customer Service

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