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Skills

  • Business Development
  • Internal auditing
  • Results-oriented
  • Team management
  • Financial records and processing
  • Tax preparation
  • Relationship development
  • Account management
  • Bilingual in German
  • Excel in metric

Work Experiences

  • Successfully led key projects that yielded a method.
  • Solved
  • Managed
  • Identified
  • Got better.
  • Worked with the parts department to get the parts I needed.
  • Informed guests about daily specials and menu options, allowing them to make informed decisions about appetizers, entrees, and desserts.
  • Gave customers clear demonstrations of alarm systems so they could learn how to use each feature.
  • Invented
  • Used Salesforce to accurately enter data into a batch ticketing system.

Summaries

  • For future mailings and newsletters, the database has been updated with updated addresses and other alumni contact information.
  • Ability to complete tasks accurately despite interruptions and competing demands has been demonstrated.
  • Multi-tasking, self-motivated leader with experience expanding network connections, persuading customers to buy products, implementing pricing models, inventory control and projections, territory development, and uncovering customer needs to deliver solutions.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • A committed, tactical team builder and strategic planner seeking a position in account management or sales with a forward-thinking elevator service and construction firm.
  • Customer service specialist with 14 years of system experience who is dedicated and detail-oriented.
  • Skills in performance reporting and project management are available.
  • Expertise in overseeing product development from concept to completion, including packaging design, marketing, and promotional materials.
  • With 14 years of progressive experience in large-scale corporate banking environments, I am a highly analytical and results-driven banking professional.
  • Innovative

Accomplishments

  • Investigated 3 fraudulent claims, saving the company approximately $66,000 in avoided payouts and maintaining compliance with industry regulations.
  • Proactively communicated with 10 external vendors and legal teams during legal disputes, ensuring timely and accurate settlements.
  • Assisted with the deployment of a pilot program that reduced overall claims processing time by 71%, contributing to increased departmental efficiency.
  • Reduced claim processing time by 42% through the identification of bottlenecks and the automation of repetitive tasks.
  • Reduced claim-related appeals by 17% through a more comprehensive initial case assessment and communication methodology.
  • Identified overpayments and recovered $$187,000 in claims during the several months audit cycle, ensuring compliance with company guidelines.
  • Successfully balanced a caseload of 11 concurrent claims while providing personalized attention and adhering to strict SLA deadlines.
  • Increased sales 18% over 18 months.
  • Received commendations from management for achieving 36% customer satisfaction scores through consistent and timely resolution of claim disputes.
  • Processed and reviewed a high volume of daily claims, typically handling 4 claims per day and maintaining 41% accuracy.

Affiliations

  • Rotary International
  • Health Care Compliance Association (HCCA)
  • American Association of Professional Coders (AAPC) - Insurance Focus
  • American Medical Informatics Association
  • Institute of Risk Management (IRM) - Columbus
  • American Society of Workers’ Comp Professionals (AMCOMP)
  • International Association of Administrative Professionals
  • Auto Insurance Regulation Council (AIR) - Member
  • Association of Certified Fraud Examiners (ACFE) - Affiliate
  • American Marketing Association

Certifications

  • Certified Healthcare Financial Professional (CHFP) - HFMA
  • Customer Service Certification - Healthcare, Meridian
  • ICD-10-CM Coding Certification – Vantage
  • Introduction to Risk Management Certificate, Harbor & Co.
  • Project Management Professional (PMP)
  • Cisco Certified Network Associate (CCNA)
  • Insurance Data Analyst Certification Meridian
  • First Aid/CPR Certified
  • HIPAA Compliance Certified, Beacon Labs
  • Certified Claims and Reimbursement Specialist, Northwind

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