Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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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
Lori A. Spencer