Synoequia Boone
@synoequiaboone
Strategic Claims Examiner with 11 years of disability claims expertise.
What I'm looking for
I am a strategic and results-driven Claims Examiner with over 11 years of experience in disability claims management. My expertise encompasses Short-Term Disability (STD), Long-Term Disability (LTD), FMLA, and job accommodations. I have a proven ability to analyze complex claims, assess risk, ensure regulatory compliance, and deliver fair, accurate claim resolutions. My strong customer-specific product knowledge allows me to provide consultative assistance regarding potential plan changes, enhancing the overall customer experience.
Throughout my career, I have demonstrated my skills in process improvement, stakeholder communication, and financial impact assessment. I have successfully managed absence programs, collaborated with cross-functional teams, and provided exceptional claimant support. I am seeking an opportunity to apply my expertise in a fast-paced, high-impact claims environment where I can contribute to operational success and policy development.
Experience
Work history, roles, and key accomplishments
Claims Examiner
Matrix/Reliance
Sep 2021 - Present (3 years 8 months)
As a Claims Examiner, I manage long-term disability claims, ensuring compliance with policies and regulations. I serve as the primary contact for clients, adjudicate claims, perform medical assessments, and manage benefit payments using Javelina Systems.
Workers Compensation Adjuster
Meadowbrook Insurance Agency
Aug 2020 - Sep 2021 (1 year 1 month)
In my role as a Workers Compensation Adjuster, I investigated medical-only claims, adjusted reserves, and maintained communication with all stakeholders to ensure timely resolutions while ensuring compliance with regulations.
Senior Disability Accommodation Specialist
Sedgwick
Nov 2019 - May 2020 (6 months)
As a Senior Disability Accommodation Specialist, I evaluated accommodation requests under ADA, collaborated with HR and legal teams, and maintained detailed case files to ensure effective implementation of accommodations.
Senior Disability Claims Examiner
Previous Employer
Apr 2018 - Aug 2019 (1 year 4 months)
In this position, I assessed eligibility for disability claims, trained junior examiners, and ensured compliance with regulatory requirements while providing empathetic communication to claimants.
National Customer Representative
Previous Employer
Feb 2017 - Mar 2018 (1 year 1 month)
As a National Customer Representative, I resolved claims issues during initial interactions, processed various claims accurately, and ensured high levels of customer satisfaction.
Instructor
East Detroit High School
Sep 2014 - Feb 2017 (2 years 5 months)
I developed and delivered a biology curriculum, prepared students for standardized tests, and facilitated staff training on educational technology, fostering a positive learning environment.
Site Coordinator
Wayne State University
Sep 2013 - Feb 2017 (3 years 5 months)
As a Site Coordinator, I managed events, guided HR managers on complex issues, and streamlined operational procedures to enhance event planning efficiency.
Education
Degrees, certifications, and relevant coursework
East Detroit High School
Instructor, Education
2014 - 2017
Developed and delivered a biology curriculum that emphasized critical thinking and exploration of natural sciences. Prepared students for standardized tests while fostering a supportive and positive learning environment.
Wayne State University
Human Resources
2013 - 2017
Coordinated events at Wayne State University, managing vendor relationships and staying within budget constraints. Provided guidance to HR Managers on complex human resources challenges and employee misconduct cases. Streamlined operational procedures to enhance event planning efficiency and effectiveness.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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