Fun and Exciting Job with lots of room for advancement, with opportunities for obtaining good work experience
Pros: lots of room for advancement, good chances of being promoted, good company with good integrity and a good purpose, good carreer advancement opportunities offering solid professional work experience
Cons: benefits were really good when i started, but sort of fell short of that as years went by, the pay could have maybe been a little better
A typical day at work:
Come in, check email, make phone calls, look at what needs attention first, process claims, review medical, meet with the boss about something, meet with the nurse about something, chat with co-workers, collaborate, discuss, and make decisions on disability and FMLA claims, respond to emails, confirm surgeries took place, check the mail, the fax machine, notify employee's and employers of decisions, via email, phone call, and by letter. write the denial letter if denied, write the approval letter if approved, provide customer service.
What was learned:
How to type fast, write professional letters, how to work with many different personalities in the co-worker setting, what key words too look for in the medical records, durations on what is and is not normal for certain surgeries, FMLA rules and regulations, quality control, multitasking, and attention to detail, all while maintaining a professional and respectable approach to anything and everything that could come up taking nothing personal.
The management was like any other management, learning, working hard, making mistakes, getting experience, and working towards perfection. I had worked with lots of managers at Matrix, so had lots of opportunities to learn from each of them. Sometimes, you could run into a power struggle here or there, but nothing too serious, lots of good memories, good times, and good experience with the management team at Matrix.
Had no problems with any of my co-workers worth talking about in a negative way. I had lots of friends, lots of good times – more... and memories with my co-workers and we all learned from every experience, weather there was a conflict with each other or conversing about the Disability, Workers Comp or FMLA claim in front of us. No complaints, nothing unusual, nothing abnormal.
The hardest part of the job:
Writing a denial letter was the hardest part for me to master, However, I have since mastered them. We are required to write a business professional denial letter, explaining in specific detail as to why their Short Term or Long Term Disability claim was being denied, if the denial was due to "no objective medical evidence to support". I cannot comment on FMLA and Workers comp, because I was not in charge of sending the letters for those pieces, but for me, the Short Term and Long Term Disability denial letters were the biggest challenge, but with practice, experience and after you have done enough of them, you tend to get good at them. Additionally, another hard part of the job, was the high claim counts, sometimes it was hard to keep up.
The most enjoyable part of the job:
The fun times, good memories, friends made and professional work experience received. – less