At Sun Life Financial, I adjudicate Short-Term Disability claims by reviewing medical documentation, physician statements, and treatment records to determine eligibility and payable benefits.
I manage reserves, analyze coverage and benefit plan terms, coordinate IMEs, and investigate documentation gaps with providers and other parties.
Previously at Genpact, I managed FNOL intake, validated policy and claimant information, and routed claims to the appropriate handlers within SLA targets.
I bring 2+ years of healthcare claims experience, HIPAA-focused handling, and Lean Six Sigma Yellow Belt process-improvement experience.
