Angelica Platt

I am a Senior Leave of Absence (LOA), FMLA, and healthcare claims professional with over six years of experience supporting employees and health plan members in highly regulated environments. I focus on accuracy, regulatory compliance, and compassionate advocacy.

My background includes health insurance operations across Medicare and Medicaid member services, claims review and adjudication, Explanation of Benefits (EOB) interpretation, and prior authorization support. I routinely manage high-volume caseloads while maintaining audit-ready documentation.

I have demonstrated expertise in FMLA compliance, medical certification review, and evaluating eligibility and qualifying events under DOL regulations. I have issued approvals, denials, extensions, and recertifications for enterprise-level clients and administered state and employer-specific leave programs.

I bring strong communication skills from roles in member services and customer support, explaining claims determinations and EOB details clearly. I seek roles where I can apply my compliance knowledge, attention to detail, and member-centered approach to improve leave and claims outcomes.