CHANTEL ROBERTS
Dacula,GA
Summary
Distinguished Management Professional experienced in delivering comprehensive HR interventions and services within healthcare and logistics sectors. Achieved organizational improvements through visionary leadership, effective project management, and development of centralized capabilities. Focused on enhancing operational efficiency, compliance, and customer satisfaction through analytical problem-solving and strong communication skills.
Overview
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Language
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Certification
15
15
years of professional experience
Work History
Injury Claims Specialist
State Farm
Atlanta, GA
03.2023 - Current
- Investigate automobile accidents and determine liability and comparative negligence by analyzing statements, police reports, photographs, medical documentation, and other claim-related evidence.
- Evaluate bodily injury claims by reviewing medical records, treatment, damages, exposure, and liability to determine appropriate settlement values.
- Negotiate bodily injury settlements directly with claimants, attorneys, and plaintiff counsel, utilizing sound judgment and negotiation strategies to reach fair and cost-effective resolutions.
- Develop and present settlement offers and counter offers based on claim exposure, documentation, liability, damages, and established negotiation authority.
- Developed and presented settlement offers and counter offers, leveraging claim exposure, documentation, liability, and damages to achieve fair resolutions.
- Collaborated with company defense counsel on litigated claims, formulating resolution strategies and negotiating with plaintiff attorneys to facilitate claim settlements.
- Identified claim issues, coverage concerns, and liability disputes, taking decisive actions to advance claims toward timely resolution.
- Collaborate cross functionally with internal departments, legal partners, and external stakeholders to resolve disputes and achieve favorable claim outcomes.
- Prioritize and manage multiple claims simultaneously while meeting quality, productivity, customer service, and resolution expectations.
- Manage claims involving insured and claimant vehicle damage, coordinating property damage evaluations and working with appropriate parties to facilitate resolution.
- Assist team members with complex claims, claim strategy, and day-to-day questions to support productivity and consistent claim handling.
- Serve as an informal resource for the team and provide operational support during manager absences, helping prioritize workloads and address escalated claim issues.
HEALTHCARE RECRUITER
Stability Healthcare
San Pedro, CA
06.2022 - 01.2023
- Screened clinician resumes in remote home setting to shortlist candidates based on professional credentials.
- Source active and passive candidates through research, advanced search tools, networking, and employee referrals. Work with Account Managers through the interview and offer process, including job descriptions, interviews, feedback, reference checks, salary negotiations/recommendations, and closing of candidates.
- Ensure a positive client experience while identifying candidate risks, proactively moving candidates through the recruiting process, driving Hiring Managers to a decision, and negotiating offers.
- Strategize different ways to build talent pipelines and execute tactical research, referral generation, events, and sourcing campaigns.
- Ensured positive client experience by identifying candidate risks, guiding candidates through recruiting process, facilitating Hiring Manager decisions, and negotiating offers.
- Utilize lead generation platform to strengthen marketing channels and build a professional network between clinicians and facilities.
- Ensure candidates have the correct experience based on the specific client job requirements.
- Develop new sourcing strategies to enhance recruitment efforts..
BUSINESS OFFICE SPECIALIST
Resurgens Surgical Center
Dunwoody, GA
07.2021 - 06.2022
- Leverage exceptional leadership, communication, and management abilities in coordinating daily operations within the business office.
- Facilitated weekly team huddles to discuss objectives and address challenges
- Understanding Medicare A & B and Medicaid plans and the correct way to bill each insurance promptly and accurately.
- Obtain all necessary documentation to properly process the claim for payment including interpreting all EOBs
- Supervise cross-functional medical teams and liaise with key stakeholders and insurance agencies in slashing insurance payment delays and speeding up insurance claims collection via efficient verification processes, accelerating authorization, and reducing errors.
- Partnered with physicians, directors, and managers across departments to enhance facilities’ accounting goals through collaborative strategies.
- Supervised cross-functional medical teams and liaised with key stakeholders and insurance agencies to reduce payment delays and expedite claims collection via streamlined verification processes.
- Oversee onboarding and training of all new hires
- Streamlined workflow by managing medical administrative tasks, including patient scheduling, billing, records, insurance verification, documentation, accounts payable, and payment posting.
PATIENT ACCESS SUPERVISOR
Emory Healthcare
Atlanta, GA
03.2018 - 07.2021
- Demonstrated exceptional aptitude in communicating with high patient volumes daily, including customer service, rapid registration (Front Desk and EMS Station), insurance verification, scheduling appointments, collections, admissions, and medical documentation.
- Facilitated daily huddles and prepared presentations for quarterly staff meetings, enhancing team communication and alignment on goals.
- Coached, trained, oversight and prepared onboarding for all patient access new hire orientation
- Coached, trained, oversaw and prepared onboarding for all patient access new hire orientation
- Oversee patient access team with monthly check-ins and annual planning
- Performed multiple unique roles and took on additional responsibilities, exceeding company goals and decreasing hiring costs annually by over $500,000.
- Scheduled patient tests, and/or procedures in a prompt, courteous manner.
- Facilitating daily huddles and preparing presentations for quarterly staff meetings.
- Reviewed patients’ initial demographics, background, and insurance information for the admissions team, scanned all documents into EMR system, calculated patient financial responsibility, presented financial options/requirements and processes, and provided financial counseling intervention as necessary.
MATERIAL LOGISTICS MANAGER
U.S. Air Force
Savannah, GA
10.2018 - 01.2018
- Lead a team of airmen in issuing, supplying, and inventorying, equipment worth over $1.3M while deployed in the global response to Ukraine and Russia crisis.
- Mobilized a high-performance team in the relocation of more than 150,000 parts, and delivered $350,000 worth of parts in five days, on a seven-day deadline.
- Ordered and delivered over $1 million in assets, ensuring timely availability for operational needs.
- Spearheaded planning, coordination, staffing, and execution of day-to-day operations.
- Conducted third party risk assessments and documented controls.
- Spearheaded planning, coordination, and execution of day-to-day operations, enhancing workflow efficiency.
- Reduced miscellaneous shop stock products from 5,000+ to less than 1,000, decreasing supply costs and consolidating over $575,000 per month.
- Design, implement, and monitor executable strategies to improve product flow, productivity, and quality within the department.
- Conduct in-depth analysis of operational performance through direct observation, interpretation of reports, and collaboration with others.
- Streamline employee communication by leading planning meetings to ensure understanding of operational updates and daily goals.
- Conduct Third Party Risk Assessment as well as document controls.
- Streamlined employee communication through planning meetings, clarifying operational updates and daily goals.
LOGISTICS MANAGER
U.S. Army
Savannah, GA
10.2011 - 01.2018
- Mobilized and directed multiple teams with oversight of recruitment, termination, coaching, training, recognition and rewards, performance evaluation, discipline, employee concerns, and staff productivity.
- Compiled and presented operational analyses of projects and services, maintaining databases to enhance data-driven decision-making.
- Compiled and presented operational analyses of projects and services, maintaining databases, and extracting information.
- Evaluated metrics and scorecards to assess and optimize overall performance.
- Orchestrated strategic sourcing processes, preparing data for comparison to identify cost-effective solutions.
- Orchestrated strategic sourcing processes, including data preparation for comparison.
- Devised total-cost-of-ownership analysis and drew relevant conclusions.
- Optimized organizational efficiency by building successful internal and external working relationships and collaborating with other sections to further expand reach and capabilities.
- Saved the U.S. Army an additional $350,000 in unused parts.
- Aligned objectives with internal customers and cultivated business relationships with suppliers to improve communication and address concerns.
- Determined, established, and maintained processes that verified the accuracy of procurement information within various SAP Programs.
- Safeguarded metrics alignment with Supply Chain, Finance, and TechOps business units.
- Engaged in comprehensive economic research and compiled information to assist decision-making.
Education
MBA - Master Healthcare Administration
Capella University
01-2023
Bachelor of Science - Healthcare Management
Albany State University
01-2016
Skills
- Claims processing
- Claims investigation
- Settlement determinations
- Liability denials
- Coverage determination
- Coverage assessments
- Claims analysis
- Complex claims consulting
- Settlement coordination
- Medical terminology
- EMR
- HIPAA
- HIPAA
- Claims management
- Claims documentation
- Project Control
- Project Coordination
- Change management
- Liability assessments
- Negotiation strategies
- Claims investigations
- Claims consulting
- Settlement negotiations
- Liability analysis
- Policy analysis
- Dispute resolution
Accomplishments
- Resolved product issue through consumer testing.
- Documented and resolved complex litigation which led to $0.00 verdict in our favor.
- Supervised team of over 50 staff members/troops.
Affiliations
- SALUTE 2022
- The National Society of Leadership and Success NSLS) 2022
Certification
SALUTE 2022, The National Society of Leadership and Success NSLS) 2022, Cisco Certified Network Associate ( CCNA) - Cisco 2022, CompTIA Security+ Certification – CompTIA 2022, Secret Security Clearance – Department of Defense 2021, Military Certificate for Self-Development – US Army 2014
Languages
English
Native or Bilingual
Timeline
Injury Claims Specialist
State Farm
03.2023 - Current
HEALTHCARE RECRUITER
Stability Healthcare
06.2022 - 01.2023
BUSINESS OFFICE SPECIALIST
Resurgens Surgical Center
07.2021 - 06.2022
MATERIAL LOGISTICS MANAGER
U.S. Air Force
10.2018 - 01.2018
PATIENT ACCESS SUPERVISOR
Emory Healthcare
03.2018 - 07.2021
LOGISTICS MANAGER
U.S. Army
10.2011 - 01.2018
Bachelor of Science - Healthcare Management
Albany State University
MBA - Master Healthcare Administration
Capella University
CERTIFICATIONS & ORGANIZATION
- SALUTE 2022
- The National Society of Leadership and Success NSLS) 2022
- Cisco Certified Network Associate ( CCNA) - Cisco 2022
- CompTIA Security+ Certification – CompTIA 2022
- Secret Security Clearance – Department of Defense 2021
- Military Certificate for Self-Development – US Army 2014
Personal Information
Title: OPERATIONAL EXCELLENCE | CORPORATE COMMUNICATIONS | KEY STRATEGIC PARTNERSHIPS