Daniel Walker
Spring,TX
Summary
Forward-thinking Operations Specialist bringing seven years of expertise in provider relations for legal insurance sector businesses. Cultivates rapport with businesses to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient with data entry, record keeping, and interpersonal relations in accordance with business needs.
Overview
7
7
years of professional experience
1
1
Language
Work History
Senior Provider Support
Legal Access Plans LLC
08.2017 - 03.2024
- Enhanced provider satisfaction by addressing concerns and resolving issues in a timely manner.
- Streamlined communication between providers and the company, fostering strong professional relationships.
- Increased efficiency of provider relations processes by implementing new systems for tracking and reporting concerns.
- Organized various educational events to promote understanding of policies and procedures among providers.
- Ensured accuracy in provider data management, resulting in improved quality of information available to plan members.
- Developed training materials for new Provider Relations Representatives, facilitating smoother onboarding experiences and improved job performance.
- Collaborated with cross-functional teams to create comprehensive solutions for complex provider issues, leading to increased satisfaction rates.
- Analyzed trends in provider feedback, identifying areas for improvement within the organization''s processes and systems.
- Acted as a liaison between providers and internal departments, ensuring effective collaboration towards common goals.
- Presented updates on industry trends during team meetings, keeping colleagues informed about changes affecting their work with providers.
- Maintained detailed records of all interactions with providers, ensuring accurate documentation for future reference or analysis purposes.
- Developed positive relationships with external partners and industry stakeholders, enhancing the company''s reputation within the provider community.
- Answered provider inquiries via email, telephone and written correspondence.
- Brought in five new providers to enhance coverage and meet program goals.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Educated staff on organizational mission and goals to help employees achieve success.
- Gathered, organized and input information into digital database.
- Evaluated customer needs and feedback to drive product and service improvements.
- Maintained database systems to track and analyze operational data.
- Collected, arranged, and input information into database system.
Education
Bachelor of Science - Psychology
University of Houston
Houston, TX05.2017
Skills
- Policy Interpretation
- Provider network management
- Effective negotiation
- Provider relationship management
- Fee exception negotiations
- Written Communication
- Relationship Building
- Interpersonal Communication
- Attention to Detail
- Professional Demeanor
- Team Collaboration
- Decision-Making
- Analytical Skills
- Multitasking Abilities
- Continuous Improvement
- Issue Research
- Task Prioritization
- Adaptability and Flexibility
- Problem-solving abilities
- Improvement plan knowledge
Work Preference
Work Type
Full TimeWork Location
HybridRemoteOn-SiteImportant To Me
Work-life balanceCareer advancementHealthcare benefitsWork from home option401k matchWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
Top matching and retention provider support for all of 2023.
Timeline
Senior Provider Support
Legal Access Plans LLC
08.2017 - 03.2024
Bachelor of Science - Psychology
University of Houston
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