QMQuanika Malbrue
@quanikamalbrue
Experienced healthcare professional specializing in claims and disability management.
United StatesWhat I'm looking for
I am a healthcare professional with over 8 years of experience in strategy execution, claims operations, leave administration, and disability evaluations within both public and private healthcare settings. My proven track record includes improving efficiency, navigating complex claims and compliance scenarios, and leading cross-functional communication with stakeholders such as medical professionals, employers, and policy administrators.
Currently, I serve as a Senior Claims Examiner at Lincoln Financial Group, where I ensure disability claims are processed accurately and on time. My role involves direct communication with various stakeholders to gather documentation and provide consistent updates. I am adept at managing multiple programs simultaneously while maintaining quality and compliance standards, contributing to a positive customer journey and operational success.
Experience
Work history, roles, and key accomplishments
Sr. Claims Examiner, Integrated Absence & Disability
Lincoln Financial Group
Aug 2023 - Present (2 years)
Serve as subject matter expert in disability claims, ensuring claims are processed accurately and on time in accordance with policy guidelines. Communicate directly with medical professionals, employers, and claimants to gather documentation and deliver consistent updates.
HR Leave Specialist
FMOL Health System
Sep 2020 - Present (4 years 11 months)
Oversaw leave administration processes, including FMLA, ADA, and maternity, ensuring alignment with federal and state laws as well as internal policy. Collaborated across HR teams, leadership, and third-party vendors to streamline communication and ensure efficient case management.
Disability Examiner
State of Louisiana – Department of Children & Family Service
Apr 2019 - Present (6 years 4 months)
Analyzed medical and vocational data to determine eligibility for disability benefits under SSA guidelines. Liaised with physicians, psychologists, and vocational experts to validate functional assessments and reach fair and accurate decisions.
Education
Degrees, certifications, and relevant coursework
UPUniversity of Phoenix
Master of Business Administration, Business Administration
2015 - 2017
Completed a Master of Business Administration program, focusing on advanced business principles and management strategies. Developed expertise in various aspects of business operations and leadership.
SUSoutheastern Louisiana University
Bachelor of Science, Family & Consumer Sciences
2006 - 2010
Earned a Bachelor of Science in Family & Consumer Sciences with a minor in Biological Sciences. Gained foundational knowledge in human development, consumer behavior, and biological principles.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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