1. Matthew Evans
6725 Amherst St Apt 8
San Diego, CA 92115
thaly2232@gmail.com
858-200-6487
SKILLS:
• Capacity to lead, train and motivate others; 8 years of customer service experience.
• Team Player, works well with others.
• Conflict Resolution, ability to resolve disputes and conflicts with a win/win attitude.
• Communication, ability to effectively communicate well with internal and external clients.
• Time Management, ability to independently manage and prioritize multiple critical tasks.
• Computer Software; MS Office, Excel, Access, PowerPoint and Outlook.
• Familiar with Workers Compensation, FMLA and Disability leaves, Flex plans, Leave of Absence and
Cobra.
EDUCATION
California State University, Monterey Bay
B.A. Human Communications 2009
EMPLOYMENT HISTORY
Igoe Administrative Services ( San Diego)
2/2013-4/2015
Client Services/ Account Manager
Essential Functions:
• Extensive knowledge of Cobra and Flex and have trained new employees on both programs
• Answer incoming Flexible Benefit Plan and COBRA participant calls
• Respond to participant email and or/fax inquiries
• Interact with Flex and Cobra Managers in order to resolve participant issues if required
• Maintain all department workflow and service level goals
• Possess strong multi tasking skills in order to respond to participant inquiries while managing
administrative duties
• Provide back up for COBRA Data (entering payments, generating monthly reports, Open Enrollment
inquires)
• Provide back up for Flexible Benefit Plan Data (monthly reports)
• Communicating with Human Resource about flex plans, payroll contributions and leave of absence
inquiries.
(Greystone Staffing) First Rehabilitation Life (New York)
6/2012-1/2013
Claims Specialist
Essential Functions:
• Work directly with employees in a call center environment managing disability claims
• Provide information to employees regarding the different types of leaves they are subject to.
• Knowledge and implementation of New York State Disability Laws; taking payments on policies
• Setting up new Insurance policies for new businesses and providing quotes, issuing certificates to
employers to comply with the Workers Compensation Board and going over benefit levels to employers.
• Use of ADP ( Automatic Data Processing)
• Work with new business and continuous business and brokers to solve policy issues
2. Reed Group ( Denver, CO)
6/2011- 4/2012
Customer Service Specialist/ Disability Specialist
Essential Functions:
• Initiates new disability cases per eligibility requirements into the system by using the MDA (Medical
Disability Advisor) Case Manager software, assigns cases to Nurse Case Manager or Leave Specialist
appropriately according to case requirements.
• Performs a variety of administrative duties in support of and with the Nurse Case Manager with high level
of attention to detail.
• Maintains a high level of confidentiality and professionalism in regards to claim denials and approvals.
• Processes packets, compliance, eligibility and non-eligibility denials and return to work fulfillment.
• Monitor cases and process medical documentation; efficient knowledge of medical coding classification
system to enter codes into employee files.
• Direct contact with Human Resource personnel to initiates Works Compensation cases and update them
on current activities for an employee’s case.
Also worked for Bridgepoint Education as a Enrollment Advisor and Lincoln Trust as a Document Processor
Salary History
40,000-45,000
Reference upon request