Lori A. Spencer
Baden
Summary
Results-oriented, high-energy, and engaged Staff training and development Decision-making skills Self-motivated Interpersonal skills Love to Cook Enjoy entertaining with family and friends Volunteer with the community Highly organized with great attention to detail Strong analytic, problem-solving Hard working Exceptional interpersonal skills People Management skills
Overview
26
26
years of professional experience
Work History
Integrated Senior Specialist Absence Manager
New York Life
04.2022 - Current
- Short Term Disability Claims – 72 task per day
- Family Medical Leave – 60 leaves per day
- American With Disability Leave – 50 leaves per day
- Paid Family Medical Leave – 0-10 leaves per day
- Incoming and Ongoing Emails to Clients and Claimants
- Handle approximately 30 calls a day
- Approving and denying of Claims/leaves
- Walking individuals thru the websites to obtain determination letters/ forms to have completed by the Healthcare providers
- Approving time off Incapacity/Office Visits
Group Claims Representative
Cigna
04.2020 - Current
- Family Medical Leave - 100 to 1000 Accounts Per Day
- Handle approximately 20 calls a day
- Incoming and Ongoing Emails to Clients and Claimants
- Making decisions on Medical Leave of Absence
Group Claims Representative
New York Life
01.2021 - 04.2022
- Incomplete Report
- IAM Error Emails
- Mentor
- Handling Intake Calls
- Family Medical Leave - 122 to 1250 Accounts Per Day / Monthly
- Handle approximately 20 calls a day – ADA Educational Call 10 calls a day
- Incoming and Ongoing Emails to Clients and Claimants
- Making decisions on Medical Leave of Absence
Customer Service Advocate-ITT FMLA
Cigna
05.2019 - 04.2020
- Family Medical Leave, NY Paid Family
- Handle approximately 80 to 100 calls a day
- Entering Intermittent Leave Time Off
- Sending out numerous faxes
Medical Record Processor
Cigna
01.2019 - 05.2019
- Calling out to doctor offices to retrieve medical records
- Send numerous faxes to doctor offices
Opening and Controlling Specialist
BNY Mellon
04.2015 - 12.2018
- Conversion – In conversion - DE conversion
- Account Opening on GSP and CMS over 100 accounts for both US and Global Clients
- Receive correspondence via emails or request from core applications
- Review, verify, evaluate clients’ actions and escalate to manager for further investigation
- Enter data and sets up from domestic and global clients in various software applications and responds to changes and modifies or sets up accounts with address changes, codes etc.
Account Payable/Receivable
Schroeder Industries
02.2014 - 12.2014
- Reviewed essential weekly and monthly reports to ensure accuracy with accounts. Ensured personal data and accounts were updated and precise
- Evaluated operational and charge accounts billing concerns and employed appropriate remedies to correct concerns
- Performed document processing, sort and verify the accuracy of data before it is entered
- Research and handle disputes on bill
Behavioral Counselor
Adelphia Village
11.2012 - 04.2014
- Constructed one-on-one interaction with at-risk adolescents to promote healthy choices, structured environments & practical problem-solving skills
- Assisted at-risk adolescents with coursework & scholastic skills
- Supported, designed and implemented treatment plans to ensure positive behavior
HR Support/Customer Service Supervisor
QBE First
08.1999 - 04.2014
- Provided excellent customer service ensuring repeat business
- Enhanced policies and procedures regarding social media and dress code
- Supervise, train, monitor staff quality and evaluated up to 25 associates
- Maintained local network, resulting in a 50 percent reduction in downtime and increased productivity
Education
Master of Science - Public Service & Human Resources
Kaplan University
06.2015
Bachelor of Science Degree - Criminal Justice
Kaplan University
06.2012
Skills
- Sap
- Excel
- Sharepoint
- Lotus Note
- ARTS/SSI
- Citrus
- Outlook
Accomplishments
- Member of the National Honor Society
- Selected member of the Alpha Beta Kappa Honors Society
Timeline
Integrated Senior Specialist Absence Manager
New York Life
04.2022 - Current
Group Claims Representative
New York Life
01.2021 - 04.2022
Group Claims Representative
Cigna
04.2020 - Current
Customer Service Advocate-ITT FMLA
Cigna
05.2019 - 04.2020
Medical Record Processor
Cigna
01.2019 - 05.2019
Opening and Controlling Specialist
BNY Mellon
04.2015 - 12.2018
Account Payable/Receivable
Schroeder Industries
02.2014 - 12.2014
Behavioral Counselor
Adelphia Village
11.2012 - 04.2014
HR Support/Customer Service Supervisor
QBE First
08.1999 - 04.2014
Master of Science - Public Service & Human Resources
Kaplan University
Bachelor of Science Degree - Criminal Justice
Kaplan University