Aric Daniels
Summary
Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills. Business Analyst offering 9 years of Medical Claims industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Accomplished at leveraging past lessons to inform future decision-making.
Overview
9
9
years of professional experience
Work History
Business Analyst
Santé Health System
2022.07 - Current
- Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
- Performed gap analysis between existing systems or processes and desired state, identifying areas for improvement or enhancement.
- Improved business processes by analyzing current practices and recommending optimization strategies.
Claims Examiner
Santé Health System
2022.05 - 2022.07
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
PPO Claims Examiner/HMO & EPO Claims Examiner
HealthComp
2020.07 - 2022.05
- Processes PPO, HMO & EPO medical claims on group by group bases in an on-line environment to meet or exceed production and quality standards.
- Reads and interprets contracts to identify benefits and appropriate financial responsibility.
- Self-audited to ensure claims quality.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Claims Examiner/Level II Examiner
Santé Health System
2018.08 - 2020.07
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
INet Coordinator
Santé Health System
2015.09 - 2018.08
- Review, correct and finalize edits from assigned iNet batches
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
- Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
- Gathered and organized materials to support operations.
- Calculating weekly inventory and sending to appropriate departments. Performs other related duties as assigned.
Education
High School Diploma -
Clovis High School
Clovis, CASkills
- Data Analysis
- Requirements Gathering
- Microsoft Office Suite
- Project Management
- Microsoft Excel Proficiency
- Business process improvement
- Workflow Analysis
- Strategic Planning
- Pivot tables
Timeline
Business Analyst
Santé Health System
2022.07 - Current
Claims Examiner
Santé Health System
2022.05 - 2022.07
PPO Claims Examiner/HMO & EPO Claims Examiner
HealthComp
2020.07 - 2022.05
Claims Examiner/Level II Examiner
Santé Health System
2018.08 - 2020.07
INet Coordinator
Santé Health System
2015.09 - 2018.08
High School Diploma -
Clovis High School
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