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Work experience

Virginia State Corporation Commission

Sep 2015Present

Associate Insurance Market Examiner

Review life and health accident and sickness insurance forms to determine if they are compliant with state regulation and statute. Make edits, reject or approve accordingly.

Genworth Financial

Apr 2012Aug 2015

Sr. Provider Specialist

Adjudicated long term care claims by making provider eligibility determinations based on the insured's policy and other information provided at the time of claim. Effectively managed and prioritized a work queue and multiple other job duties in a fast paced environment, with aggressive deadlines. Placed outgoing calls to long term care facilities and other person's or entities involved in the adjudication process. Accountable for recognizing and working within a structured environment with clearly defined SOP's to ensure consistency of claims practices. Effectively handled escalations, resolution of risk decisions and complex claims. Responded to customer or insurance department complaints and appeals. Recommended and implemented process improvements and served as a technical source and subject matter expert for other roles.

Genworth Financial

Jul 2010Apr 2012

Sr. Benefit Analyst

Adjudicated moderate to complex long term care insurance claims according to department SOP's. Provided excellent customer service to insured's and family members. Communicated with various physicians to gather medical information required to process claims. Processed timely benefit payments. Maintained a daily diary and documented the claim appropriately. 

Aon Consulting

Sep 2008Mar 2010

Health and Wellness Specialist

Provided quality customer service to the client's employees to include answering questions regarding their employee benefits. Responsible for the administration of the employee flexible spending and tuition reimbursement assistance benefits to include updating the employee's grades via spreadsheets and processing reimbursement payments for the flexible spending program. Responsible for posting insurance premium payments for retired employees.

Health and Wellnes

Apr 2006Mar 2008

Worker's Compensation Benefit Coordinator

Adjudicated medical only worker's compensation claims, prepared correspondence, maintained a daily diary system which documented the claims process, approved and processed appropriate claim payments. Reviewed reserves and adjusted according to claim exposure.Handled litigation and subrogation cases with a high recovery ratio. 



Dec 1995

Bachelor of Fine Arts