A Disability Case Manager is a specialized professional working in the healthcare service industry, undertaking the job of assessing disabled people who face either physical or mental health issues/needs. A well-drafted Disability Case Manager Resume mentions the following core duties and tasks – managing care services of disabled individuals; helping disabled people get the needed service; providing assistance in procuring the services by acting on behalf of the disabled person; interviewing clients, reviewing the health records, speaking with medical and mental health professionals, developing and understanding the client’s needs; and ensuring highest life quality is provided to the patients.
Successful resumes in the field showcase skills like healthcare expertise, excellent knowledge of case management principles, and healthcare management; prior work experience with psychological aspects of care; and familiarity with professional and technical emerging knowledge. Employers pick resumes that denote a degree in social work or nursing.
Headline : Seeking a challenging position in Administrative/HR where one can hone skills in interpersonal communication, accounting, customer service, and dispute resolution.
Skills : Benefits Administration, Accounts Payable And Receivable, Payroll.
Description :
Managed complex short-term disability claims.
Undered general supervision conducts the review and investigation, determine liability on disability claims.
Reviewed contractual provisions, legal guidelines, and protocols to risk manage claims.
Regularly exercised independent judgment in interpreting information.
Managed Work Flow- Manage the life cycle/pipeline of up to 180 short-term disability claims to ensure determinations are made in the designated timeframe.
Conducted investigations to determine whether or not to accept liability and to what degree.
Calculated the liability for each claim.
Evaluated and refer appropriate claims to risk management resources.
Analyzed supporting documents to ensure the requirements are complete and in good order.
Experience
5-7 Years
Level
Executive
Education
MBA in HRM
Disability Case Manager Resume
Summary : Strong interpersonal and written communication skills with the ability to acquire and deepen solid relationships. Demonstrated ability to assume responsible roles and perform in a highly visible position, works well in highly stressful environments to beat deadlines, and produce effective results. Self-started, goal-driven, and an effective team player.
Skills : Microsoft, SSI And SSD.
Description :
Conducted interviews with clients, completed initial applications, and file appeals.
Periodically updated and obtained medical information between client and health care provider and retain the most current medical records before submission to the Social Security Office.
Cased intake, calling and answering phone calls for potential clients, screening qualifications, signing up new clients to be represented by firm attorneys.
Managed a high volume of firm disability files.
Prepared files for hearings.
Responded to notices from the Social Security Administration and addressing client concerns.
Maintained Administration and addressing client concerns.
Managed online marketing campaign.
Membered of SHEA Health & Safety committee.
Experience
7-10 Years
Level
Management
Education
BA in Interdisciplinary Studies
Disability Case Manager Resume
Headline : Visionary change agent with experience in leadership, customer service, and performance-driven results. Self-motivated with prior success to initiate, implement, and execute projects across multiple departments.
Skills : Military History, MS Office.
Description :
Managed medical leaves and short-term disability benefits for company employees nationwide.
Interfaced with medical and HR departments of union and non-union facilities.
Facilitated return to work at medically appropriate times for employees.
Approved short-term disability for employee illness or injury.
Facilitated quality control of company policies and procedures to ensure all medical.
Facilitated new training for managers and HR staff on the new SOP.
Received and reviewed new insurance applications for missing information, i.e., forms, signatures, policy criteria, etc.
Organized and prioritized workload (at that time 160 cases) to ensure cases were processed, issued, and placed in a timely manner.
Experience
5-7 Years
Level
Management
Education
BS in Nursing
Disability Case Manager Resume
Objective : Delivers value-based outcomes with a client-centered focus. Highly collaborative leader with a consistent record of transforming challenges into business opportunities.
Skills : Case Management, Leadership, Process Improvement, Client Relations.
Description :
Provided disability case management services.
Proposed and implemented cost-effective vocational case management plans to the referral source.
Coordinated and implemented approved return to work plans to successful completion.
Followed- up and evaluated persons' success relative to case plan; re-assessing case plan as necessary to ensure successful outcomes.
Demonstrated appropriate outcomes measured during the life of a case against long and short-term goals; outcomes are summarized at the time of case closure with the aim to maximize the person's outcomes and maximize medical status and return to work status.
Returned persons, as close as possible, to his/her pre-illness/pre-injury status.
Assisted injured workers with job development and job placement.
Assisted with job applications, resume, and cover letter development, job sources, networking, and interviewing skills.
Provided crisis intervention to resolve problems, assess the need for professional services, and mediate disputes and conflicts.
Experience
0-2 Years
Level
Entry Level
Education
Doctor Of Philosophy
Disability Case Manager Resume
Objective : Seeks to obtain a Disability Case Manager position that allows utilizing current skills to assist in advancing a business that offers a stable employment opportunity. Also eager to learn new skills and business and technological improvements that will help to obtain a career job where one is able to grow and advance within the business/company.
Skills : Microsoft Office, Bilingual, Spanish, Customer Service, Supervisor, Medical Terminology, CPR.
Description :
Led service coordinator for multiple major clients.
Responsible for all aspects of the client relationship as contractually defined, ranging from customer service at the client/employee level to corporate HR liaison.
Extensive knowledge of disability contracts, policies & procedures as well as medical and vocational issues.
Primary team manager for the LabCorp account, a large multi-faceted, highly sensitive, deadline-driven account.
Carried a full caseload of claims requiring regular validation activities.
Served as a mentor and consultant to peers, director, and new employees.
Cased review to determine customer eligibility based on the review of medical documentation and contractual language.
Worked with rehabilitation specialists, clinical and medical staff, employers, and claimants to facilitate return to work efforts in accordance with regulatory requirements, contractual specifications, and procedural guidelines.
Applied and analyzed technical contractual knowledge to ensure appropriate eligibility requirements and liability decisions.
Experience
2-5 Years
Level
Junior
Education
Medical Coding and Billing
Disability Case Manager Resume
Summary : Looking to obtain a Disability Case Manager position offering personal and professional growth opportunities utilizing the experience of critical care as well as disability case management in an industrial, corporate, or legal capacity.
Skills : Microsoft Office, Benefits Review.
Description :
Dedicated on-site case management for the largest school system managing short-term and long-term disability claims.
Provided telephonic case management to determine eligibility per the school board's private plan and working with health care providers to return employees to work full duty or with reasonable work accommodations.
Consulted with directors, principals, and administrators regarding reasonable accommodations under the ADA (Americans with Disabilities Act) guidelines.
Consulted with attorneys representing the school system on various claims.
Managed claims under FMLA (Family Medical Leave Act) for employees not covered by either of the disability plans.
Assisted with EEOC (Equal Employment Opportunity Commission) as well as Unemployment Hearings related to employees claiming disability.
Worked with the county's Risk Management Department providing documentation and feedback on various worker's compensation claims.
Experience
10+ Years
Level
Senior
Education
BS in Medical
Disability Case Manager Resume
Objective : Proven success in management and product sales in a variety of sales environments; Creative problem solver with the ability to resolve conflict, improve morale, and consistently improve product sales and quality.
Skills : Microsoft Office, Claims Processing, Workers Compensation, Ability To Multi-Task, Case Management, Customer Service.
Description :
Assigned in-house contract worker to Boeing Safety Health (Environmental Affairs (SHEA) department.
Provided disability case management, ergonomics for proactive and injured workers.
Operated and managed company Transitional Early Return to Work Program.
Conducted and completed in-house Ergonomic Evaluations, Job Hazard Analysis, as well as feasibility for modified or alternate work for the office, warehouse, machine process, parts department, etc.
Worked closely with management on policymaking.
Services provided to all company employees including management, salary level workers, and craft workers.
Conducted limited services (ADA) accommodations, worked under California Workers Comp system and CAL-OSHA, Federal OSHA, and company internal safety regulations.
Experience
2-5 Years
Level
Junior
Education
MA in Industrial Psychology
Disability Case Manager Resume
Summary : A commitment to excellence in providing customer service by utilizing oral and written communication skills, problem-solving, and organizational skills preferably with an organization that rewards a responsible, personable, hardworking, team-player.
Skills : Hemodialysis, Customer Sevice, Team Player.
Description :
Mentored case managers on the team as needed.
Performed audits of team members.
Communicated with claimants, employers, and various medical professionals to gather information for, payment of, and ongoing management of LTD claims.
Conducted detailed investigations to determine whether or not to accept liability, the degree, and to approve or deny benefits accordingly.
Determined appropriate offsets from benefits initially and ongoing to include workers' compensation, social security, EDD benefits, personal income protection, etc.
Analyzed results and understanding the impact on staffing and performance in various health ministries for future staffing purposes.
Presented cases and participated in their discussion at claim committee meetings.
Experience
10+ Years
Level
Senior
Education
Medical Coding and Billing
Disability Case Manager Resume
Objective : Dedicated and accomplished professional with a broad background of sales and management experience in multiple career fields. Highly analytical and organized with a demonstrated ability to improve efficiency and effectiveness of programs.
Skills : Sales, Management, Time Management.
Description :
Managed the request, escalation, processing, and documentation of FML leave with concurrent STD benefits and medical or mental health conditions of complex nature.
Payroll time entries, edits, and payment issuance for on and off-cycle payouts to associates.
Duties also include but aren't limited to assisting new hire training, compiling Six Sigma entries for various department inefficiencies, and providing training opportunities and feedback to management.
Accurately applied FML and STD processes and policies to accounts for intermittent leaves, exhaustion of benefits, leave return dates, potential transitional duty positions.
Processed and editing STD payroll payments and leave time.
Reviewed associate employment date, leave history, and benefit elections to determine eligibility and/or discrepancies.
Compiled metrics in multiple reports that can be used to evaluate the effectiveness of leave management policy, procedures, and processes.
Experience
2-5 Years
Level
Junior
Education
B.A. in Media Arts and Science
Disability Case Manager Resume
Summary : Seasoned Healthcare Customer Service Associate and Short-term Disability Case Manager with more than 6 years of experience in fast-paced Health Benefits Administration Environment. Excellent Customer Service, and Case Management skills.
Skills : Microsoft Office, Case Management Skills.
Description :
Investigated, evaluated, and settled claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Paid and processed claims within designated authority level.
Verified and analyzed data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Entered claim payments, reserves, and new claims on a computer system, inputting concise yet sufficient file documentation.
Contacted or interviewed claimants, doctors, medical specialists, or employers to get additional information.
Maintained claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
Reported overpayments, underpayments, and other irregularities.
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