Daniel Baltus
Marshfield,WI
Summary
Experienced and enthusiastic Consultant with track record of success across wide range of industries. Possesses exceptional interpersonal, problem-solving and analytical skills to provide advice and expertise to client organizations improving business performance. Experienced in all aspects of operations, strategy and finance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medicare Consultant
Your Way Medicare
09.2022 - Current
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.
- Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
Senior Benefits Consultant
GoHealth
05.2021 - 08.2022
- Served as a trusted resource for senior management regarding complex benefits-related issues or questions requiring specialized expertise.
- Reduced benefits costs for the company by negotiating with insurance providers and optimizing plan offerings.
- Improved employee satisfaction by implementing streamlined benefits enrollment processes and providing personalized guidance.
- Educated staff on the value of various benefit offerings through engaging presentations and informative materials, leading to increased appreciation and utilization of available programs.
Reimbursement Policy Analyst
Marshfield Clinic
09.2019 - 04.2021
- Improved policy effectiveness by conducting comprehensive research and analysis on various issues.
- Participated in industry conferences and workshops as a subject matter expert to stay current on emerging trends in public policy analysis.
- Developed data-driven policy recommendations for better decision-making and resource allocation.
- Developed policy briefs that summarized key findings from research activities, highlighting implications for future action and providing actionable recommendations for decisionmakers.
- Built strong relationships with internal departments for effective collaboration within the organization for policymaking purposes.
Government Programs Claims Examiner II
Security Health Plan
03.2014 - 08.2019
- 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.
- Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Education
Bachelor of Science - Management
University of Wisconsin - La Crosse
La Crosse, WI12.2012
Associate of Arts -
University of Wisconsin - Stevens Point
Stevens Point, WI05.2010
Skills
- Problem-Solving
- Attention to Detail
- Team Leadership & Development
- Client Relationships
Certification
- Life, Health, and Disability License - 05/01/2012-Present
Timeline
Medicare Consultant
Your Way Medicare
09.2022 - Current
Senior Benefits Consultant
GoHealth
05.2021 - 08.2022
Reimbursement Policy Analyst
Marshfield Clinic
09.2019 - 04.2021
Government Programs Claims Examiner II
Security Health Plan
03.2014 - 08.2019
Bachelor of Science - Management
University of Wisconsin - La Crosse
Associate of Arts -
University of Wisconsin - Stevens Point
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