Amra Lilic
St. Louis
Summary
Dynamic and results-driven Claims Team Lead with over 15 years of experience in the dental field, including more than 3 years specializing in claims processing. Combines deep clinical knowledge with operational acumen to effectively lead teams and manage complex projects that drive strategic outcomes. Known for fostering a supportive, detail-oriented work environment that encourages collaboration and continuous improvement while consistently streamlining processes and upholding high standards. A commitment to excellence is reflected in a leadership style that empowers team members to reach their fullest potential and align efforts with organizational goals.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Claims Team Lead
Delta Dental
06.2024 - Current
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Coached team members in techniques necessary to complete job tasks.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Devised and implemented processes and procedures to streamline operations.
- Conducting monthly 1:1 meetings with team members to support development, address concerns, and align on goals.
- Facilitating weekly COB huddles to review updates, celebrate wins, and address challenges collaboratively.
Claims Representative 1
Delta Dental
06.2022 - Current
- Resolve dental claims accurately, ensuring timely payments and policy compliance.
- Collaborate on complex claims, enhancing efficiency through precise coordination.
- Streamline workflows to reduce turnaround time and boost productivity.
- Review procedure codes and documentation, ensuring claim validity and adherence.
- Coordinate with dental consultants for comprehensive reviews of complex cases.
- Meticulously review procedure codes and documentation, validating claim legitimacy while maintaining strict adherence to company guidelines.
- Streamline claim workflows, significantly reducing processing time and boosting overall productivity in the claims department.
- Implement process improvements to optimize claim resolution, enhancing accuracy and efficiency in dental insurance operations.
- Analyze complex dental claims, ensuring accuracy and compliance while coordinating with consultants for comprehensive case reviews.
- Implement process improvements to streamline claim resolution, enhancing efficiency and reducing turnaround time in dental insurance operations.
- Meticulously review procedure codes and documentation, validating claim legitimacy while adhering to company guidelines.
- Drive operational excellence by optimizing claim workflows, resulting in substantial improvements in processing speed and accuracy.
- Analyze complex dental claims, ensuring accuracy and compliance while coordinating with consultants for thorough case reviews and optimal resolution.
- Streamline claim workflows, reducing processing time and enhancing overall productivity in the claims department.
Lead Dental Assistant
Dental Care for Kids
05.2008 - 06.2022
- Developed weekly schedules for staff, ensuring optimal coverage and efficiency.
- Trained new hires, enhancing team skills and integration.
- Resolved technical issues promptly, minimizing downtime and maintaining operations.
- Managed inventory and budget, ensuring supplies were stocked and cost-effective.
- Collaborated with suppliers and attended meetings to improve site operations.
- Lead comprehensive dental team training, optimize scheduling, and manage inventory, ensuring seamless operations and superior patient care.
- Implement efficient systems for staff assessment, technical troubleshooting, and supply management, enhancing overall clinic productivity.
- Streamline operational processes, mentor new staff, and resolve technical issues promptly, contributing to enhanced patient satisfaction.
- Orchestrated comprehensive staff training and optimized scheduling, elevating team performance and operational efficiency in pediatric dental care.
- Pioneered streamlined inventory management system, ensuring cost-effective supply procurement while maintaining optimal stock levels for uninterrupted patient care.
- Analyzed and resolved technical issues swiftly, minimizing clinic downtime and enhancing overall productivity in a fast-paced dental environment.
- Mentored and integrated new hires effectively, cultivating a skilled and cohesive dental team that consistently delivered superior patient care.
- Spearheaded comprehensive staff training and schedule optimization, elevating team performance and operational efficiency in pediatric dental care.
- Implemented streamlined inventory management system, ensuring cost-effective supply procurement while maintaining optimal stock levels for uninterrupted care.
- Swiftly resolved technical issues, minimizing clinic downtime and enhancing overall productivity in a fast-paced dental environment.
- Mentored new hires effectively, fostering a skilled and cohesive dental team that consistently delivered superior patient care.
- Analyzed operational processes, implemented efficient systems for staff assessment and technical troubleshooting, contributing to enhanced clinic productivity.
- Pioneered digital scheduling system, boosting staff efficiency and patient satisfaction in pediatric dental care environment.
Server/Hostess
Millennium Hotel
01.2005 - 04.2007
Education
Associate's degree - Dental Assisting
Missouri College
St. Louis, MO05.2008
Skills
- Problem Solving
- Data Analysis
- Team Collaboration
- Time Management
- Detail oriented
- Multitasking
- Process improvement
- Influencing skills
- Relationship building
- Employee training
- Task delegation
- Employee engagement
- Teamwork and collaboration
- Team motivation
- Goal setting
- Mentoring
- Complex Problem-solving
- Leading team meetings
- Coaching
- Giving constructive feedback
- Team Check-ins
- Team building
- Attention to detail
Certification
- CPR Certification (2013-03 to 2013-04)
- Nitrous Certified
- Employee of the month
- ACE nominee runner up
Languages
English
Bosnian Native
Timeline
Claims Team Lead
Delta Dental
06.2024 - Current
Claims Representative 1
Delta Dental
06.2022 - Current
Lead Dental Assistant
Dental Care for Kids
05.2008 - 06.2022
Server/Hostess
Millennium Hotel
01.2005 - 04.2007
Associate's degree - Dental Assisting
Missouri College
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