disability case manager resume sample

Ensure integration with other benefit programs such as Short Term Disability (STD), Long Term Disability (LTD), health benefits, paid time off programs, and other internal and external benefits. Employers will be looking at your resume for Case Manager skills list that suits their needs and immediate requirements. Evaluate the claim and plan to determine eligibility for LTD benefits, calculate and apply applicable offsets and taxes. Job and Resume Template . Hospital Case Manager Resume Template. 100 Broadway Lane New Parkland, CA, 91010 Cell: (555) 987-1234 email@example.com. - Choose from 10 Leading Templates. Disability Case Manager Resume Examples. Partner with HR Consultants in managing escalated cases that also involve labor management issues. ), Strong PC skills including Microsoft Office suite of programs including not limited to Excel, PowerPoint, Word, etc, Intermediate understanding of disability processes, Experience using a claim or leave administration system, Engage plan members through open and respectful communication to understand the medical, social and personal dimensions of their workplace absence, Develop and maintain outcome-focused case management plans to help plan members return to work, Work collaboratively with plan members, plan sponsors, lawyers, health care practitioners and other stakeholders to obtain information, provide claim status, create action plans and provide verbal and written decisions while maintaining confidentiality and privacy, Identify and assess medical and non-medical influencing factors pre and post disability, functional capability, restrictions and limitations to better understand what support is needed to get plan members back to work, Our commitment to service excellence and quality, innovation and talent development, Career progression is based on solid performance, knowledge of our business and products, positive engagement with our customers, and your interests opening up a wide variety of career paths within Sun Life, Ability to work in a dynamic, collaborative environment where you are encouraged to share your ideas, Determine, on a timely basis, the status of assigned claim by applying the appropriate contractual provisions to the medical and occupational facts of the claim, Establish case file based on documentation criteria, Review Claim packet: Claimant Statement, Employer Statement and Physician Statement of claim form to identify employee date of hire, class, date of disability and enrollment information, Identify if additional information is required, Review contractual benefits and provisions of employer’s policy, Assess pre-existing & continuity of coverage status, Determine, based on the employment information, if claimant meets the eligibility terms of contract, e.g. Be sure to include any pertinent information you do not want a potential employer to miss in this Profile Section. Objective : Behavioral Health Case Manager with 2 plus years of experience is seeking a position within the health industry related to mental health and/or behavioral healthcare field.Work well with others as a team and an energetic self-motivator able to work individually. Keep the resume around a page long, as longer resumes can be too much for the interviewer to read. Inquire, gather, and confirm other income benefits, including effective dates and amounts for benefits such as but not limited to State-Mandated Benefits, Social Security Benefits, Worker’s Compensation, Pension/Retirement benefits, etc. The national average salary for a Disability Case Manager is $36,016 in United States. Visit us at www.sunlife.com/us to learn more, Assesses various types of claims for eligibility for benefits and makes decisions within service standards: assessment includes evaluation of medical documentation and contractual provisions and pursuing additional information if necessary to make a sound decision, Communicates with claimants, policyholders, lawyers, physicians and other departments by electronic mail, telephone, written correspondence and occasionally in person, Handling difficult phone calls from agitated and sometimes hostile callers as a result of the decision to decline benefits, Develop, communicate and execute case management plans, Conducting telephone interviews focused on gaining relevant information not evident in existing documentation, Identify and assess non medical barriers pre and post disability functional capacity and medical management in order to positively impact recovery and resolution, Updates information on claim-paying computer system, Negotiating and developing return to work plans with plan members and plan sponsors, Provides guidance to employees and managers with respect to the American Disability Act (ADA), Transitional return-to-work, Worker's Compensation (occupational and non-occupational injuries), and other disability related benefits, Works closely with the WC Third-Party Administrator and outside defense counsel to manage claims in compliance with jurisdictional WC laws and regulations, Partners with managers/supervisors and affected employees to guide them through the Workers' Comp process, Serves as consultant to managers/supervisors, and local LMP WPS Teams regarding Disability Management, Maintains the data integrity of the charts and systems for each employee in the Workers' Compensation, Transitional Work Program and Workplace Accommodation Collects, documents and reports employee data, enters information into tracking data base. It’s actually very simple. Resume Text. Sample Function Forms; How To Get Your Doctor to Fill Out Paperwork; Letters From Employers. A conscientious, sensitive and hardworking professional who wants to use all of her skills and knowledge to really make a difference to people’s lives. Primary Nurse Case Manager Resume Objective : Highly motivated, goal-oriented professional nurse with two year experience as a Licensed Practical Nurse and six years as a Registered Nurse, which includes the field of Geriatric Nursing, Medical/Surgical and Acute Rehab Setting. The combined resume format combines the elements of the reverse chronological resume and functional resume types. View All Manager Resumes Creates reporting systems and disseminates program related data to Regional and National partners, Serves as resource to disabled employees regarding the Transitional Return to Work Program and other Disability and FLMA/LOA related benefits, Communicates with management and claims administrators as outlined in the Disability Management guidelines, Discuss complex or difficult individual cases with the HR Services Manager, Labor Relations, Physician Advisor, Senior Counsel, and National IDM team as needed, Provides monthly reports to Lead, IDM Case Manager and Claims Administrators as outlined in the Disability Management Guidelines, Provides monthly reports to HRSC as outlined in the Disability Management guidelines to ensure appropriate integration of pay and benefits, Coordinates with the HR Consultant and external vendors to ensure compliance with regulatory requirements, Coordinates with supervisors and the HRSC to ensure prompt and accurate reporting of claims to support timely reporting of claims and appropriate benefit payments, Ensures appropriate integration of all disability related benefits Coordinates with claims administrator (if applicable) to ensure timely and accurate payment of appropriate benefits, Ability to be flexible and adaptable, with the ability to assume other duties and responsibilities asdepartmental objectives and requirements change required, One (1) year of working knowledge of applicable ADA, FMLA/LOA, Return to Work Program, Worker's Compensation or equivalent years of experience requiring the application of knowledge in the areas of employee disability benefits / return to work issues, Four (4) years of experience in a Human Resources environment preferred, Demonstrate effective oral and written communication, consulting, interpersonal and presentation skills, with the ability to effective, Extensive travel throughout the Region preferred, Proficiency in the use of Micro Soft word, excel, power point, access database management, database reporting preferred, User knowledge of mainframe and/or PC database, word processing and statistical analysis software preferred, Ability to prioritize, meet deadlines, and good attention to detail preferred, Possession of interpersonal skills that inspire trust and confidence preferred, Ability to manage several complex projects simultaneously while working under pressure to meet deadlines preferred, Intermediate computer skills - including data entry, MS Word and MS Excel, An ability to work effectively in a team environment, The skills to multi-task, prioritize, and work in a fast paced environment, An ability to manage relationships with external and internal clients, Confidence to pose questions when you require clarification, Build strong relationships with our Plan Sponsors, working in partnership with them to address their workplace absence issues, Engage plan members through open and respectful communication to understand the medical, social and personal dimensions of their work absence, Conduct telephone interviews to obtain information to ensure complete understanding of the absence and type of support required to assist with return to work planning, Identify and assess medical and non-medical influencing factors pre and post disability, functional capability, restrictions and limitations, College degree or equivalent industry-related experience required, Solid analytical skills as well as the ability to negotiate with people, Strong organization skills, with the ability to multitask in a fast-paced environment, The ability to perform complex financial calculations, Ability to speak directly with claimants in telephone interviews or in person with other Senior Analysts, Manages assigned caseload of disability claims for Short Term Disability, Ensures claims integrity and compliance with established procedures, timing requirements and regulatory guidelines, Develops plan to address disability obstacles and coordinates with claimants attending physicians, and employers to return people to work, Monitors other sources of income that coordinate with Short Term Disability Benefits. Damiana Barese. This increasingly popular resume format is the most flexible, allowing you to highlight those sections of your resume … Case Manager Resume Sample . Microsoft Word Apple Pages. actively at work, employee class, etc, Confirm medical evidence supports restrictions and limitations presented, Review all physicians’ statements, notes and records included with claim submission. Crafting a Disability Case Manager resume that catches the attention of hiring managers is paramount to getting the job, and LiveCareer is here to help you stand out from the competition. Provides case management and counseling services and assists clients in the creation and adherence to their Individual Living Plans, identifying short and long-term objectives to be achieved. Salary estimates are based on 14,471 salaries submitted anonymously to Glassdoor by Disability Case Manager employees. These list of interview questions and answers will help you strengthen your technical skills, prepare for the new job interview and quickly revise your concepts Katarina Burton. Disability Case Manager Resume Sample. Ability to counsel, motivate, monitor and track client progress. Case Manager Sample Cover Letter will give ideas and strategies to develop your own resume. The process of case management is one that is undertaken in the context of a team, of which the disability case manager is but one part. Act as a mentor and technical resource to other Disability Case Managers. Case Manager Resume Samples [Objective & Job Description] Whether applying for mental health, nursing, or just regular social work case management, this guide will get you that admission certification—to the case manager job interview. Prepare cost-benefit analyses of proposed budgets to validate claims management expenses. Overview. There are plenty of opportunities to land a Disability Case Manager job position, but it won’t just be handed to you. This function will include contractual interpretation and accurate data entry, Making decisions on and payment of Short Term Disability claims using contractual, medical, functional, and vocational analysis, Frequent written and verbal communication to clients and stakeholders within and outside of the medical community, plan members and plan administrators, Maintain productive relationships with internal stakeholders to maintain service level targets, A focused attention to detail - particularly with numbers, spelling and grammar, Very strong written and verbal communication skills, with the ability to effectively deliver difficult messages to clients by telephone and in the form of very detailed letters of explanation, Strong customer service experience, with proven ability to build and manage relationships with external and internal clients, Sound knowledge and ability to apply appropriate disability risk management tools and techniques, Previous Disability Claims Experience is highly preferred. Seek advice from clinicians as appropriate, Review description of job duties to determine occupational requirements and determine if an occupational analysis is needed from a vocational specialist. Case Manager Resume Example. You may also want to include a headline or summary statement that clearly communicates your goals and qualifications. This resume was written by a ResumeMyCareer professional resume writer, and demonstrates how a resume for a Social Services Case Manager Candidate should be properly created. If you’ve completed every other section of the resume and still have space, it’s all right to add a few keywords to maximize your match score in applicant tracking systems, the programs used by some employers to scan resumes. Find out what is the best resume for you in our Ultimate Resume Format Guide. Our disability support worker resume sample uses eight; the goal is to keep your resume on one page. Another Case Manager resume . Field Case Manager Resume Template PRO. Available in (US) 8.5x11, (A4) 8.27x11.69 inches. Disability case management is a specialization in the healthcare services industry that focuses on assessing disabled individuals for services in order to address physical and mental health needs. In that case, see these senior restaurant manager resume examples. Document for the Disability Case Managers and member of the reverse chronological resume and functional resume types on. Sure to include a headline or summary statement that clearly communicates your goals and lead full lives Home » »! Receiving, SSI, Workmen 's Compensation, Pension, Commissions, State Disability statement for additional. And start getting more interviews thanks to expert tips and hacks typically a short and quick for! Of claims experience with a quality service provider where i can continue to help people their... Elements of the reverse chronological resume and functional resume types counsel, motivate, monitor track! 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