Case Specialist Resume Samples

Description :

1. Managed lost-time and modified duty claims for injured workers.
2. Approved, pended and dismissed medical treatment requested by medical providers within given deadlines.
3. Thoroughly reviewed medical documentation for rationale, injured worker progress, or worsening conditions.
4. Maintained return-to-work plans with formulated short & long term goals.
5. Processed disability logs within deadlines and placed injured workers in appropriate Rehabilitation programs.
6. Attended client meetings to maintain & promote employer satisfaction/loyalty to CareWorks.
7. Successfully met monthly goals via team efforts.

Experience

0-2 Years

Level

Junior

Education

Bachelor Of Arts

Description :

1. Monitored after-hours foster care/in-home crisis calls on a bi-monthly basis.
2. Ordered in court, DNA retrieval, monthly reporting for State.
3. Established paternity, data entry, assisting State attorney in court.
4. Responsible for receiving referrals directly from Judges and Masters.
5. Conducted family or individual needs assessments per court ordered.
6. Managed members experiencing complex or catastrophic illness, co-occuring disorders such as, substance dependence.
7. Conducted continuous skills assessment, planning, coordination and evaluation.

Experience

5-7 Years

Level

Executive

Education

M.A In Counseling

Description :

1. Assessed ongoing needs, identified conttributing factors that can derail progress, such as housing concerns, med non-compliance, minimal support system.
2. Identified family problems, strenngths, weaknesses, coping skills and type of assistance needed for success.
3. Ensured excellence and provided services including individual and group psychotherapy.
4. Inspected finished goods, assembly machinery using blueprints and hand tools.
5. Responsible for providing world class customer service to active employees.
6. Prepared income withholding orders, answer telephone calls.
7. Prepared necessary orders, motions, petitions, etc.

Experience

10+ Years

Level

Senior

Education

BA In Accounting

Description :

1. Managed two positions at one time on multiple occasions.
2. Sort incoming and outgoing mail, sorting and distributing, as well as distributing/mailing over-nighted items.
3. Responded to inquiries from members and providers to clarify benefits.
4. Provided member education and referrals.
5. Established working relationships with referral sources, providers, community agencies and vendors to proactively coordinate access to services.
6. Consistently met call quotas and telephone service standards on every in-bound call providing excellent customer service and ensuring quality.
7. Assisted co-workers with training of new processes and answered questions.

Experience

2-5 Years

Level

Entry Level

Education

Diploma In Accounting Assistant

Description :

1. Provided training demonstrations to fellow co-workers and HR personnel.
2. Provided case management for the Knox and Laurel County Juvenile Drug Courts.
3. Provided information to the Judges and JDC team members regarding each child such as program requirements being met, school attendance, grades and discipline actions.
4. Made referrals for counseling and/or treatment as needed, and work with a team to ensure each juvenile is receiving the services he/she needs.
5. Answered phone calls from the automated call distribution system.
6. Managed high volume incoming faxes, authorization request and calls for Outpatient/Inpatient MCO TNCare Medicaid services.
7. Completed authorizations, correspondence, and managed phone queues within the department.

Experience

7-10 Years

Level

Management

Education

Medical Administrative Assistant

Description :

1. Replaced old birth certificates with the amended one and typing evidence.
2. Pulled birth certificates from archives, mailed requests, and typed certificates and letters.
3. Received incoming calls and returned incoming calls.
4. Completed weekly and monthly reports for the department.
5. Served as account manager for Retiree Drug Subsidy program.
6. Researched and collected data on retirees to collect government subsidy.
7. Liaised with inactive RBC employees, working in conjunction with employees and vendors on leaves of absence, retirement, worker's compensation and COBRA.

Experience

2-5 Years

Level

Junior

Education

Juris Doctor In Law

Description :

1. Answered and made 50-60 customer telephone calls regarding new contracts in the New Business.
2. Met with participants face-to-face regularly as required by government contractual obligations.
3. Maintained a participant caseload.
4. Dealt with crisis intervention when needed.
5. Provided treatment services guidance to participants in drug court.
6. Administered drug tests.
7. Appeared in court before judge with participants.

Experience

10+ Years

Level

Senior

Education

BA In Psychology

Description :

1. Provided resources and assistance for young adults in Independent Living Program and children in Foster Care Conduct weekly.
2. Case managed with pregnant and parenting youth Weekly and monthly home visits Hospital visits when youth deliver their baby.
3. Completed data entry and progress reports for each client Sacramento, CA Develop.
4. Individualized intervention programs for children with autism based.
5. Provided case management services for children, foster parents, and program staff.
6. Completed all reports according to established program guidelines.
7. Managed cases and survived families that are enrolled in child care programs, which include checking for eligibility, case maintenance, recertifying families and termination.

Experience

5-7 Years

Level

Executive

Education

General Education

Description :

1. Trained extensively in multiple corporate retirement plans to be able to provide up to date and relevant information to clients.
2. Promoted to a case specialist level 2 within two weeks of employment.
3. Responsible for assisting a case load of 200 clients with their tax liabilities Requires knowledge of every state law on Offer in Compromise and .
4. Correspond with the insured or agent to obtain information or inform them of the application status or changes.
5. Developed and maintained accurate and complete case records for all ISAP Program Participants from entry to release from the Intensive Supervision.
6. Contacted insurance carriers to inquire about policy status, fix issues or makes changes on behalf of the customer and sales agent.
7. Worked on individual stations, would help complete orders by doing re-works and jumping on any machine that needed help and moving people around as necessary.

Experience

2-5 Years

Level

Entry Level

Education

B.S. In Finance

Description :

1. Responsible for monitoring ongoing changes in resident's behavior which may affect an individual behavior.
2. Participated in planning and implement resident's treatment plans.
3. Provided update records and shift reports.
4. Coordinated mental health and behavioral services.
5. Communicated with staff and handle all customer service responds in the home to increase awareness and progress of any issues.
6. Deputized as the main point of contact for client service center.
7. Researched and resolved payroll and benefit cases in call center.
8. Identified issues and discrepancies, while directing banking and tax teams to ensure case resolutions.

Experience

0-2 Years

Level

Entry Level

Education

High School Diploma