Alicia Paget
@aliciapaget
Disability claims adjudication professional skilled in medical, occupational, and policy analysis.
What I'm looking for
I independently manage disability claims involving complex medical and functional conditions, analyzing medical records, physician statements, occupational demands, and policy provisions to determine eligibility. I identify discrepancies, obtain additional documentation, and resolve claim issues within required timeframes while making and communicating benefit determinations.
I’m known for concise, defensible written documentation and accurate payments, along with effective stakeholder communication. Previously, I reviewed medical and occupational evidence to assess ongoing disability status and supported group disability business through administrative review, documentation verification, and cross-functional coordination.
Experience
Work history, roles, and key accomplishments
Independently manage complex short- and long-term disability claims by analyzing medical records, occupational demands, and policy provisions to determine eligibility. Make and communicate benefit determinations, calculate and issue accurate payments, and produce concise, defensible claim documentation for claimants, employers, providers, and internal stakeholders.
Reviewed medical and occupational evidence to assess disability eligibility and ongoing disability status, resolving claim issues in compliance with policy and applicable regulatory requirements. Communicated decisions clearly and maintained accurate, policy-aligned documentation.
Supported group disability business through administrative review, documentation verification, and cross-functional coordination to help ensure timely, accurate claim processing. Verified records and performed administrative checks aligned to internal requirements.
Education
Degrees, certifications, and relevant coursework
Alicia hasn't added their education
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Availability
Location
Authorized to work in
Job categories
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