John Dembowski Email & Phone Number | SERVICE IMPROVEMENT AND OPERATIONS LEADER Process all lines of business, from voluntary STD or LTD claims, Cancer Critical Illness, Accident to Hospital Income, and Life, Life waiver or Long term and home health care. Manage higher indemnity, complex STD and LTD cases including contestable claims or pre-existing issues, medical and legal consultation review or investigative referrals. Oversee Appeals Process directly for all lines of business noted above through a full review of claim decisions versus policy and application correspondence and claim information in the file. I will gain additional insights through medical reviews, legal discussions and field involvement and advise if decision should be upheld or overturned. Also manage Presidential Complaints and responses as necessary. Extensive business operations and service experience within customer facing, high production inventory environments. continually focused on building relationships and promoting synergy across business lines.

John Dembowski

SERVICE IMPROVEMENT AND OPERATIONS LEADER Process all lines of business, from voluntary STD or LTD...
United States

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John Dembowski’s Location United States

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John Dembowski’s Prior Industry Fallon Health | Healthplansinc | Tufts Health Plan

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Senior Claims Consultant - Disability, Critical Illness, Hospital and Accident

2021-07-01 00:00:00 - Present

Claims Administration Manager

2020-07-01 00:00:00 - 2021-02-01 00:00:00

Service & Claims Operations Manager

2019-05-01 00:00:00 - 2020-01-01 00:00:00

Claims Service Manager - Public Plans

2018-04-01 00:00:00 - 2019-06-01 00:00:00

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John Dembowski is a SERVICE IMPROVEMENT AND OPERATIONS LEADER Process all lines of business, from voluntary STD or LTD claims, Cancer Critical Illness, Accident to Hospital Income, and Life, Life waiver or Long term and home health care. Manage higher indemnity, complex STD and LTD cases including contestable claims or pre-existing issues, medical and legal consultation review or investigative referrals. Oversee Appeals Process directly for all lines of business noted above through a full review of claim decisions versus policy and application correspondence and claim information in the file. I will gain additional insights through medical reviews, legal discussions and field involvement and advise if decision should be upheld or overturned. Also manage Presidential Complaints and responses as necessary. Extensive business operations and service experience within customer facing, high production inventory environments. continually focused on building relationships and promoting synergy across business lines.