Maureen Tracy
West Brookfield
Summary
An obundance of my career has been spent in the insurance industry and medical field, either in Underwriting, Claims, or Securities. Additionally, I have a clinical training background in Diagnostic Radiology. I am confident that I could manage any policy/type. I am self-motivated. I work independently quite well I am also a strong team player. I have strong sound skills for gathering and analysis, solid reading comprehension skills, the ability to understand technical terms, proficiency in analyzing any type of policy, competency for an accurate determination of insurability/eligibility, a constructive understanding of laws and regulations, seasoned report writing skills, proficiency in analyzing medical records, and a thorough knowledge of physical and psychological disabilities. I have aligned with multiple departments addressing Policy and Procedures, Legal, Compliance to promote a better experience, SIU fraud units.
Overview
30
30
years of professional experience
Work History
Disability Case Specialist
MetLife
08.2023 - Current
- Manage disability cases for National Dedicated Accounts.
- Manage disability cases, client interviews, obtain and review medical client history for claims processing, compile, review, analyze medical office visit and objective testing to determine claims decisions while managing FMLA concurrently.
Realtor
Self-Employed
01.2018 - 12.2024
- Utmost confidentiality and protecting client interests, maintain ethics codes, market knowledge, researching, aligning clients' criteria, scheduling, showings, Open Houses, Inspections, Appraisals, working with attorneys, Research Land Management, Deeds, City/State Bylaws, negotiations and finding needs/solutions, assist in domestic and international transfers and placements.
CT and X-Ray Technologist
Guam Radiology
Hagatna
01.2016 - 08.2018
- CT and X-Ray Technologist: work directly with physicians and traumatic or non-traumatic patients to obtain and provide high-quality images, obtaining images for both inpatient, outpatient, and surgical patients, interpreting orders, administering contrast IVs, sterilization procedures for both surgical and non-surgical environments, HIPAA, maintain confidentiality, provide patient care before, during, and after imaging, maintain supply inventory.
Sr. Life and DI Underwriter, Specialist
The Hartford
Windsor
04.2001 - 08.2007
- Company Overview: Windsor, CT
- Managed high-profile policies for both Group and Association Policies
- Compiled, reviewed, and analyzed extensive medical history for individuals to determine eligibility for physical and/or psychiatric diagnosis
- Reviewed and analyzed Statement of Health and Evidence of Insurability, coverage validity, eligibility
- Analyzed documents to make a sound review/decision while maintaining ERISA rights, protocol, and time frames.
- Executed phone interviews with current and potential insureds.
- Worked closely with sales and account representatives nationally
- Coordinated with legal departments to ensure a good understanding of insurance laws and regulations
- Along with contributing to policy writing for all-encompassing knowledge of multiple policies
- Aided constructing policy compliance for office procedure(s)
- Trained, managed, and lead outsourced employees
- Managed and performed quality assurance for domestic and out-sourced underwriters.
- Instructed and trained new employees.
Sr. LTD/STD Claims Examiner
The Hartford
Simsbury
08.1995 - 04.2001
- Company Overview: Simsbury, CT
- LTD/STD Claims management for both high profile National Accounts and small business
- Compiled, reviewed, and analyzed extensive medical histories for individuals to determine eligibility for both physical and psychiatric diagnosis.
- Reviewed and analyzed materials to ensure coverage validity, insurability, eligibility
- Worked closely with sales and account representatives nationally
- Coordinated with legal departments to ensure a good understanding of insurance laws and regulations
- Maintain ERISA, HIPAA, and disability laws and regulations.
- Coordinating transferable skills into Voc Rehab.,
- Collaborated with SIU Fraud Unit
- CPT, ICD-10, and MIB coding
- Instructed informational training/meetings with other departments for educational purposes regarding claims
- Instruct, mentor, and train employees
- Simsbury, CT
Education
Associates Degree - Radiologic Technology
Quinsigamond Community College
Worcester, MA06-2016
Skills
- Data gathering and analysis
- Reading comprehension
- Technical terminology understanding
- Medical record analysis
- Claims determination and insurability
- Knowledge of physical disabilities
- Knowledge of psychological disabilities
- Disability laws and regulations understanding
- Report writing skills
- Case management expertise
- Medical history evaluation
- FMLA compliance management
- Policy adherence
- Customer service excellence
- Data analysis proficiency
- Attention to detail
- Problem-solving skills
- Confidentiality adherence and ethical practice
- Decision-making abilities
- Time management skills
- Risk assessment
- Data analysis
- Regulatory compliance
- Decision-making
- Risk management expertise
- Researching skills
References
- Richard Coakley, (508) 832-6062, piene@aol.com, Hanover/Allmerica Insurance – IT Programing
- Margaret Sullivan, (774) 272-1799, margaretsully1991@gmail.com, Vice President ~ Citizens Bank
- Tom Foley, (774) 289-9376, tffoley54@gmail.com, Business Owner
Past Certifications
- Life, Health, Series 6, 7, and Blue-Sky Mutual Fund Certifications, expired
- Massachusetts Radiological Technologist Licensing
- ARRT/ASRT, expired
- Massachusetts and Guam State and National Real Estate Licensing
Timeline
Disability Case Specialist
MetLife
08.2023 - Current
Realtor
Self-Employed
01.2018 - 12.2024
CT and X-Ray Technologist
Guam Radiology
01.2016 - 08.2018
Sr. Life and DI Underwriter, Specialist
The Hartford
04.2001 - 08.2007
Sr. LTD/STD Claims Examiner
The Hartford
08.1995 - 04.2001
Associates Degree - Radiologic Technology
Quinsigamond Community College
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