Business-minded Claim Manager with honed skills in time management, talent development, process improvement and expense management. Bringing 20 years of related experience combined with superior data abilities. Pursuing similar position within the insurance company.
· Lead the Medbill and Medicare Operations, consisting of 44 direct/indirect report whom support the Workers Compensation field operation.
· Accountable for the timely and accurate adjudication of approximately $1.8 billion in medical bills received annually.
· Focus on diversity and strengthening behaviors to drive desired outcomes
· Partner closely with vendor managers and field leaders to bring issues to resolution.
· Effectively lead staff through continuous change with an emphasis on process improvement.
· Lead a unit consisting of 6 teams and 45 front line staff handling multiple jurisdictions.
· Accountable for the timely and accurate adjudication of claims per claim standards, while executing on customer service deliverables.
· Responsible for talent development and succession planning.
· Built a culture focused on diversity and inclusion.
· Effectively managed teams through significant change (organization realignments, attrition, etc..)
· Managed a team of 5-6 adjusters, ensuring claim handling was adherent to jurisdictional guidelines.
· Efforts focus on mitigating exposure, retaining top talent and building succession pipelines.
· Led several projects centered around Electronic Data Interchange (EDI) and large remediation efforts necessary.
· Managed claims in order to properly access coverage and compensability.
· Routinely leaned on for stretch assignments and acted as Interim Leader.
· Focus on file disposition and resolution
· Involved in multiple phases of User Acceptance Testing as claim platforms changed.