Denise M. Higgins has over 15 years of experience as an administrative professional. She has a track record of increasing productivity, accuracy and profitability through exceptional time management, problem-solving and organizational skills. Her career experience includes roles as a Short Term Disability Claims Coordinator, Quality Control/Claims Auditor, and Claims Analyst for AETNA Life Insurance where she processed claims, audited appeals, and assisted with system conversions and training new employees. She has strong computer skills and a positive work attitude.

1. Denise M. Higgins denise954@outlook.com / (954) 647-0682
Hands-on, results-oriented administrative professional with over 15 years of experience. A dedicated team
leader that demonstrates a combination of exceptional time management, creative problem-solving and
organizational skill sets. Recognized for continually accepting new business process challenges resulting in
increased productivity, accuracy and profitability. Able to deliver best in class customer experience.
Career Experience
AETNA Life Insurance
Plantation, Florida
Worked on United Parcel Service, FEDEX and Bank of America Accounts.
Short Term Disability Claims Coordinator (April 2011 to December 2016)
Processed Workers Compensation, Employers STD Benefits and Temporary Return to Work Payments.
Authority to Approve and Release Emergency/Previously Miscalculated Payments per Specified Plan.
Researched State Statutory Financial Guidelines / Coordinated Benefits with Multiple State Agencies.
Communicated Various Plan Benefits to Union Representatives, Medical Professionals and Bank Officers.
Generated Performance Guarantees, Evaluations and Special Request Reports for Director.
Diagnosed, Categorized and Assigned New Claim Pools per Determination Timelines.
Batch Processed Correspondence / Trained Incoming Team Members / Complied with HIPPA Laws.
Quality Control / Claims Auditor (June 2007 to April 2011)
Assisted in Development of Auditing Tools for Appeals, Intake Analysts and Customer Service.
Worked with Management on Daily Job Functions and Implementation of New Auditing Processes.
Expedited Claim Distributions and Claim Assignments / Mentored New Team Members.
Audited Appeals, Long-Term and Short-Term Disability Claims / Completed Financial Special Projects.
Actively Participated in New Application Testing / Recognized for Superior Intracompany Relations.
Claims Analyst (Nov 2004 to June 2007)
Original Broadspire Hire / Assisted with Merger to AETNA / Restructured Claims for AETNA Systems.
Volunteered for New Application Conversions / Created Process Documentation for Transition.
Collaborated with Other Teams on Best Practices / Assisted Colleagues on Multiple Teams.
Responsible for Obtaining and Reviewing Medical Documentation / Audited Closed Claims.
Additional Credentials
Computer Proficient (Including, but Not Limited to Microsoft Windows 7 and 10, Word, Excel, Outlook).
Extremely Versed at Working in Several Concurrent Computer Applications.
Positive and Confident Personality / Excellent Telephone Skill Set / Works Well Individually or in Groups.
Able to Successfully Multitask, Make Key Decisions and Quickly Adjust to Organizational Needs.
Extremely Dependable / Enthusiastic Study / “Get it Done Right” Attitude / Reliable Transportation.