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Skills

  • First Aid/CPR
  • Compliance with insurance regulations
  • Adaptability in Fast-paced Environments
  • Data entry accuracy
  • Cross-functional team collaboration
  • Team building
  • Reporting skills
  • New employee onboarding
  • Documentation abilities
  • Project organization

Work Experiences

  • Achieved Innovation Award for lowest error rate.
  • Collaborated with initiative customers to determine their needs and deliver metric service.
  • Achieved a 17% improvement in customer satisfaction scores.
  • Communicated clearly with diverse teams to resolve cross-functional issues, directly contributing to a 71% improvement in team workflow.
  • Kept track of all pending authorizations to resolve discrepancies and avoid revenue loss.
  • Presented customers with insurance options in order to close new policy sales.
  • Achieved a 77% success rate.
  • Analyzed emerging claim patterns during standard event.
  • Saved $3 by putting in place cost-cutting measures that addressed long-standing issues.
  • Oversaw the delivery of method project by initiative team, which resulted in standard.

Summaries

  • Collaborative team player.
  • Costs were consistently reduced while profits were increased.
  • Recognized on a regular basis for outstanding performance and contributions to the Mental Health industry's success.
  • Achieved first-call claim resolutions.
  • Achieved consistently high customer satisfaction.
  • Professional who is resourceful and versatile and has a track record of consistently exceeding aggressive sales targets.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the process business.
  • Accelerated intake processes for system insurance by 79% days.
  • Achieved a 63% reduction in processing errors.
  • With excellent planning and problem-solving abilities, I am organized, driven, and adaptable.

Accomplishments

  • Facilitated cross-department collaboration to resolve claim disputes, improving overall process efficiency by 24%.
  • Worked with IT to deploy claims management software, improving intake processing times by 3%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Assisted in revising standard operating procedures that improved compliance with regulatory requirements, decreasing audit findings by 6%.
  • Initiated a regular review of intake bottlenecks, addressing inefficiencies and improving processing speed by 15%.
  • Collaborated with client service teams to resolve conflict-driven cases, decreasing escalations by 27% over the course of 11 months.
  • Resolved product issue through consumer testing.
  • Participated in cross-functional team meetings designed to rework claim intake priorities, leading to more efficient handling of sensitive cases.
  • Conducted regular audits of intake records that identified issues and led to a process improvement plan that improved accuracy by 55%.
  • Handled intake calls with a focus on personalized customer service, resulting in an increase in positive customer feedback by 45% %.

Affiliations

  • American Medical Informatics Association
  • Accredited Claims Adjuster (ACA) Certification Association
  • International Claim Association (ICA)
  • National Council for Behavioral Health (NCBH)
  • National Association of Insurance Commissioners (NAIC)
  • Certified Claims Professional Accreditation Council (CCPAC)
  • Society of Women Engineers
  • National Association of Professional Adjusters (NAPA)
  • Project Management Institute
  • National Association of Claims Professionals (NACP)

Certifications

  • First Aid/CPR Certified
  • Licensed Adjuster Certification - Ohio
  • Certified Fraud Examiner (CFE) process
  • General Insurance (INS) Certification - The Institutes
  • Claims and Fraud Management Certificate - Brightline
  • Microsoft Certified Systems Engineer (MCSE)
  • Google Certified Professional Cloud Architect
  • Chartered Property Casualty Underwriter (CPCU) - The Institutes
  • Medical Claims Specialist Certificate - Meridian
  • Certified Business Analysis Professional (CBAP)

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