Corey Nolan
Coraopolis
Summary
Results-driven professional prepared for claims management roles, and experienced with claims assessment, negotiation, and resolution. Utilizes strategic problem-solving to manage high-volume claims efficiently. Track record of enhancing team performance and ensuring compliance with regulatory standards.
Overview
14
14
years of professional experience
Work History
Long Term Disability Claims Manager
New York Life Insurance Company
04.2020 - Current
- Conduct thorough investigations to determine liability, assess damages, and gather relevant information, while enhancing customer satisfaction with timely and accurate claim resolutions.
- Oversee the entire claims process, from initial notification to final settlement, ensuring accuracy, timeliness, and compliance with company policies and regulations.
- Interpret policy terms and conditions to determine coverage and liability, and ensure claims are handled in accordance with applicable laws and regulations.
- Maintain accurate and organized claim files, including all correspondence, documents, and relevant information.
- Communicate effectively with client, insureds, adjusters, and other stakeholders, providing updates, explanations, and resolving issues.
- Negotiate and settle claims fairly and efficiently, minimizing disputes and maximizing cost-effectiveness.
- Manage and support litigation matters related to claims, working with legal counsel to ensure effective representation and outcomes.
Quality Assurance Specialist
The IMA Group
06.2015 - 04.2020
- Reviewed IME reports, agenda, peer reviews, and other documentation to ensure accuracy, completeness, and adherence to formatting guidelines.
- Ensured product compliance with industry regulations by staying up-to-date on relevant standards and guidelines, implementing necessary changes to maintain conformance.
- Processed revision and corrections, follow-up on pending changes, and re-review corrected reports to maintain high-quality standards.
- Communicated effectively with clients, attorneys, medical directors, and supervisors, providing regular updates on report status and managing addendum requests from start to finish.
- Monitored deadlines, including hearing dates and urgent client requests, to ensure timely report completion and release.
- Delivered exceptional customer service by addressing client issues promptly and streamlining communication with all stakeholders involved in the IME process.
Certified Nursing Assistant
HCR ManorCare
03.2013 - 06.2015
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
Medical Receptionist
AdventHealth
02.2011 - 03.2013
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Scheduled and managed patient appointments, ensuring accurate and timely scheduling.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Assisted with billing and collections, as needed.
- Perform general clerical tasks, such as filing, faxing, and photocopying.
Education
Certified Nursing Assistant (CNA) -
Business Administration -
Pittsburgh Technical College
Oakdale, PA01-2026
Skills
- Client Relationship Management
- High-Pressure Settings
- Collaborative Communication Expertise
- Procedure Execution
- Policy interpretation
- Claims Investigation Expertise
- Effective Conflict Resolution
- Strong Verbal and Written Skills
- Regulatory Compliance Oversight
- Proficient in Systematic Planning
- Strong Prioritization Skills
Timeline
Long Term Disability Claims Manager
New York Life Insurance Company
04.2020 - Current
Quality Assurance Specialist
The IMA Group
06.2015 - 04.2020
Certified Nursing Assistant
HCR ManorCare
03.2013 - 06.2015
Medical Receptionist
AdventHealth
02.2011 - 03.2013
Certified Nursing Assistant (CNA) -
Business Administration -
Pittsburgh Technical College
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