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Work experience

SUMMARY

Strengths in operational support, mentoring, and team leadership. Talented process improvement thinker successful in analyzing and improving processes.

*Selected from a department of 50 associates to learn and present lean management methods to the department, as well as value stream mapping

*Member of a cross-functional team selected to improve team culture in the claims disability department

*Selected by upper management to a change enabler role to positively communicate developments and trends from upper management to other associates.

CORE COMPETENCIES

Customer Service, Business Trainer, Lean Mangement, Clinical Disability Management, Return to Work Planner

Nov 2015Present

Clinician/Therapist

Stephen H. Borgman, LCPC

I provide outpatient individual and family therapy, serving children, adolescents, and adults.  Areas of expertise include the autism spectrum, anger management, men's issues, ADD/ADHD, and depression and anxiety.

Successfully transitioned from a group to individual part-time private practice, resulting in a doubling of my revenue from previous years.

Jul 2004Present

Psychiatric Clinical Specialist

Metlife Disability

Certifications from AHIP - Disability Healthcare Professional (DIA), Healthcare Insurance Associate (HIA), Disability Healthcare Professional (DHP)

DotNative Certifications - Dot Native Channels To Market Badge, Dot Native Customer Centricity Badge, Dot Native Digital Culture Badge, Dot Native Organizational Agility Module, Unlocking Data Dot Native Badge, Dot Native Digital Imperative Badge

Work telephonically with claimants, psychiatrists, therapists, employers, and customers to ensure optimal recovery for all psychiatric clinical claims.

Review and evaluate psychiatric records and treatment plans for all psychiatric clinical claims, comparing duration control guidelines and clarifying functional inconsistencies in order to determine residual abilities.

 Work, when reasonable, with employers, providers, internal clinical staff, and claimants to formulate return to work plans that will help the claimant return to gainful employment.

Aug 2003Nov 2015

Clinician/Therapist

PRA Behavioral, LLC

Provide individual, couples, and family counseling. I serve children, adolescents, and adults.  Areas of expertise include the autism spectrum, anger management, men's issues, add/adhd, and depression and anxiety.

May 2002Jul 2004

Mental Health Clinician

Northwest Community Hospital
Provided individual and group psychotherapy services in inpatient and outpatient settings to an adolescent population.  Also worked on an as-needed basis for adult inpatient and partial hospital programs.
May 1999May 2002

Clinical Staff Therapist

Advocate Ravenswood Hospital
Facilitated individual and group psychotherapy for an adult population, working in inpatient, partial hospital, and intensive outpatient programs.  Developed and updated treatment plans for assigned clients from admission through discharge.  Provided case management for assigned caseload.  Provided crisis management as needed.
May 1997May 1999

Counselor

DeVry Institute of Technology, Chicago Campus
Provided short-term counseling, crisis intervention, and academic counseling to a diverse commuter population.  Presented classroom workshops on stress management, conflict resolutions, acquaintance rape, AIDS/HIV.  Organized health and wellness fairs.  Successfully managed an interdepartmental team of faculty and staff to administer the Noel-Levits Retention Management System to students.  Developed and presented the outcomes for senior management and DeVry staff.  Tracked and showed improved student retention rates.  Winner of the employee recognition and customer service award given by the company founders.
Mar 1996Apr 1997

Case Specialist

Allendale Association
Provided individual, group, and family therapy to teenagers and their families in a residential setting.  Developed intake treatment plans with intake worker and school psychologist.  Organized multidisciplinary staffings, DCFS case reviews, Individualized Educational Plans, and court reports for residential clients.  Co-managed a residential unit of twelve teenage residents and seven childcare staff.  Provided monthly on-call supervision for residential campus.  Served as liaison to DCFS workers, Department of mental Health, juvenile court, resident's parents, psychologists, and school staff.

Education

Aug 1986Jun 1990

B.A., Sociology

Wheaton College
Additional coursework completed in Anthropology and Communications

Certifications

Jan 2001Present

Licensed Clinical Professional Counselor, #180003883

Illinois Department of Professional Regulation
Jan 2006Present

Healthcare Insurance Associate

America's Health Insurance Plans
The curriculum for this designation ensures that the associate  gains a thorough knowledge of the marketing, administration, and evaluation of various kinds of coverage, and will examine principles, contracts, underwriting, and marketing. You’ll also have an understanding of cost management, pricing, claims administration, policy issue and renewal, government regulation, and fraud.
January 2006Present

Disability Income Associate

America's Health Insurance Plans

Insurance and health care professionals, as well as financial planners, pursue DIA designation for increased awareness of the risks and costs associated with disability.

Jan 2006Present

Disability Healthcare Associate

America's Health Insurance Plans
The DHP designation expands on the specialized course of study offered in the Healthcare Insurance Associate program. It provides the associate with the knowledge needed on disability income insurance and its role in protecting individuals from the financial losses that often occur from serious physical injuries and other severe health afflictions. By completing this designation, the associate acquires a solid background in basic product concepts and terminology, contracts, underwriting, and sales and marketing. The associate has a thorough orientation in operations management, including cost management, pricing, claims administration, policy issue and renewal, customer service, government regulation, and fraud.