Summary
Overview
Work History
Education
Skills
AFFILIATIONS & HONORS
Timeline
Generic

Adawa Hanna

Summary

Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.

Overview

7
7
years of professional experience

Work History

Arbitration Specialist

HaloMD
12.2025 - Current
  • Analyzed clinical data to identify trends and improve operational efficiencies across departments.
  • Developed and implemented patient engagement strategies to enhance overall satisfaction and retention.
  • Reviewed arbitration determinations and identified trends to improve future submissions.
  • Assist in appeals and post-determination follow-up when applicable.
  • Collaborate with billing, coding, credentialing, and legal teams to resolve claim disputes efficiently.
  • Collaborate with billing, coding, credentialing, and legal teams to resolve claim disputes efficiently.
  • Review claims, Explanation of Benefits (EOBs), HCFAs (CMS-1500), medical records, and supporting

Claims Adjuster

Island Peer Review (IPRO)
07.2023 - 12.2025
  • Monitored appeal/dispute status and communications on client portals to ensure timely updates.
  • Communicate with claimants, providers, and third parties to negotiate fair settlements and resolve disputes.
  • Tracked and assigned cases using software applications to streamline claims processing.
  • Monitor appeal/dispute status and communication received on client portals.
  • Track and assign cases using commercial off-the-shelf and custom software applications.
  • Monitor and measure key performance indicators and identify opportunities to enhance claims workflow and contribute to the development of best practices.
  • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation.
  • Prepared billing invoices at conclusion of cases, submitted to Finance, and liaised with accounting to ensure accurate payment tracking.
  • Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments.

Claims Specialist

Progressive
New York, USA
08.2021 - 05.2023
  • Secured statements from policyholders, claimants, and witnesses to assess liability in auto accidents.
  • Discussed coverages and exclusions with policyholders under their policy.
  • Negotiated settlements with claimants and legal teams for auto, property damage, and personal injury claims, ensuring compliance with company standards.
  • Worked with attorneys, appraisers, internal departments and other specialists when defending the company against contestation.
  • Coordinated services of mechanics, architects, and contractors to facilitate timely and effective repairs of damaged property.
  • Monitored and managed the submission and disbursement of payments.
  • Managed high-pressure situations, fast-paced environment with significant telephone disruption.

Account Manager

E.A. Berg Associates
New York, USA
10.2020 - 08.2021
  • Collaborated with clients to develop the most optimal customer-specific strategies to attain defined goals and objectives.
  • Analyzed, formatted, and presented category trend/sales data to customers.
  • Managed sales, distribution, and merchandising of brand portfolio within an assigned location.
  • Organized and led meetings to develop strategies on how to achieve the given week’s goal and reported current stats and goals met.
  • Created and presented PowerPoint presentations to current and prospective retail customers.
  • Prioritized important deadline projects, while efficiently managing time and completing weekly
  • Updated and maintained reporting for inventory/sales made daily and weekly per company standards and regulations.

Account Manager

Red Bull
New York, USA
07.2019 - 10.2020
  • Provided timely and accurate reporting on all competitive merchandising trends and programming.
  • Ensured clients used current promotions, displays, and marketing tools
  • Ensured all products are delivered as ordered by the sales team; obtained accurate payment for delivery and maintained records for proof of delivery
  • Serviced all designated accounts within required period set by supervisors
  • Presented all marketing promotions using PowerPoints, and portfolios to accounts, store-level buyers, grocery managers to secure retail space and secondary locations and optimize brand exposure
  • Conducted annual experience review meetings with clients, with assistance from actuarial for reporting
  • Developed and executed regional company-specific sales and marketing plans
  • Managed sales territory and achieved monthly quotas.

Education

B.S. - Criminal Justice

John Jay College of Criminal Justice
05-2021

Skills

  • Computer Programs: Microsoft Office Suite: Excel, Word, Outlook, PowerPoint, Adobe software, Progressive Claims Pro system, ASM/RAM system, Progressive FinSys, Xactimate
  • Financial Knowledge: Data analytics, Budget Management, Time Management
  • Contract Analysis

AFFILIATIONS & HONORS

The American Finance Association- AFA – Current, National Conference of Race and Ethnicity in Higher Education – NCORE, John F. Tobon - Criminal Justice Scholarship - 2020

Timeline

Arbitration Specialist

HaloMD
12.2025 - Current

Claims Adjuster

Island Peer Review (IPRO)
07.2023 - 12.2025

Claims Specialist

Progressive
08.2021 - 05.2023

Account Manager

E.A. Berg Associates
10.2020 - 08.2021

Account Manager

Red Bull
07.2019 - 10.2020

B.S. - Criminal Justice

John Jay College of Criminal Justice
Adawa Hanna