Job Search Status
Open to workDesired start date: Immediately
Open To Work
Brooke Skinner - Brandt
Arlington,TX
Work Preference
Summary
Dedicated professional seeking a stable, reputable organization that values career growth and fosters a positive learning environment. Proven negotiator with a strong emphasis on achieving results and promoting team collaboration. Expertise in conflict resolution, strategic planning, and effective communication enhances the ability to navigate dynamic challenges. Recognized for adaptability and reliability, ready to drive impactful outcomes that align with organizational objectives.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Sr. Claim Negotiator Specialist II
Multiplan
Arlington, TX
07.2007 - 02.2026
- I managed high dollar claims with a high volume of healthcare claims. I maximize savings on each claim within the established department production standards and individual goals by contacting providers on all assigned claims and presenting a proposal while maintaining high quality standards.
- I perform provider research to provide support for desired savings.
- I would address counteroffers received and present proposals for resolution while adhering to client guidelines and policy and procedures.
- I would achieve savings with previously challenging/unsuccessful providers.
- I also would establish ongoing global or concurrent agreements for future claims.
- I continually update the provider database for reference and claims processing on subsequent claims.
- I would initiate provider telephone calls as often required with respect to proposals, overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims.
- I maintain calls up to 40% of the time will be on the phone with providers.
- As well I would provide education to providers online with provider portal services to be able proposal review and approval
- Over 19 years I established departmental performance per metrics at Target or Stretch.
- I also handled post claim closure service inquiries, including payment status and defending original negotiation terms.
- I continually met all ACD (Average Call Daily) phone responsibilities and tracking outcomes.
- I collaborate, coordinate, and communicate across all disciplines and departments.
- I would ensure compliance with HIPAA protocol.
- I demonstrated the Company’s Core Competencies and values held within.
- I was responsible for this role and is considered to be a High-Risk Role.
- Promoted to CSR I, CSR II and SR CSR
Customer Service Support
04.2007 - 05.2009
- Routing of faxes in the system when the barcode doesn’t automatically match up.
- Handling fax error queue to determine why faxes didn’t transmit and resolving the issue in order to successfully send out the fax.
- Provider Research including contacting providers to obtain or verify correct contact information including phone number, fax, address and Tax ID.
- Switch job functions throughout the day and adapt quickly.
Education
Auto Adjuster - Auto Claim Adjuster
Dearborn Financial Institute
Dallas, TX10-2004
Diploma - undefined
Lamar High School
Arlington, TX01-1998
Skills
- Microsoft Word
- Microsoft Excel
- Top Producer
- Prospect Plus
- Map Programs
- Customer Service
- Problem Resolution
- Data entry
- Internet research
- Multi-phone answering
- HP Real Estate Document Assistant
- Power Point
- NPI Data Search
- Teams Message
- Zoom
- Open-mindedness
- Persuasion techniques
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Multitasking Abilities
- Reliability
- Excellent communication
- Conflict resolution skills
- Decision-making
- Professional ethics
- Team building
- Goal setting
- Continuous improvement
- Negotiation management
- Adaptability
- Time management abilities
- Professionalism
- Conflict resolution
- Self motivation
- Effective communication
- Active listening
- Teamwork
Certification
- Auto Claim Adjuster License - 2004
Languages
English
Native or Bilingual
Timeline
Sr. Claim Negotiator Specialist II
Multiplan
07.2007 - 02.2026
Customer Service Support
04.2007 - 05.2009
Diploma - undefined
Lamar High School
Auto Adjuster - Auto Claim Adjuster
Dearborn Financial Institute