Erin Gill
Short Term Disability Claims Examiner @New York Life
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WORK HISTORY
Short Term Disability Claims Examiner @New York Life
Make claim / customer eligibility determinations and manage on-going claims for an assigned caseloadof short-term disability claims, through capturing medical information, applying appropriate contractualprovisions, following legal guidelines, and leveraging expert resources.Communicate with claimants, employers, and various medical professionals to gather informationregarding the application for, payment of, and ongoing management of short-term disability benefits.Support and promote all integration initiatives (including Family Medical Leave, Life AssistancePrograms, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.).Ability to handle potentially high levels of call volume from customers and clients. Respond to variouswritten and telephone inquiries, including eligibility, approval/denial determinations, status andcontinuation or closure of benefits.Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either ona full-time or modified duty basis.Network with both customers and physicians to medically manage claims from initial medical requeststo reviewing and evaluating ongoing medical information.Pay all covered claims accurately and timely.Execute on all customer performance guarantees.Adhere to standard timeframes for processing mail, tasks and outliers.Understand Group Benefit Solutions and Corporate Compliance, Polices and Procedures and bestpractices.Stay abreast of ongoing trainings associated with role and business unit objectives.Respond to all telephonic and email inquiries within customer service protocols in a clear, concise andtimely manner.
EDUCATION
Dual College Preparatory and Vocational/Technical Preparatory Seal, Whitewater High School
High School Diploma
Georgia College and State University
Bachelor of Science
SKILLS
ABOUT ERIN GILL
My experience centers on customer service, administrative support, and teaching and…
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