Jason Simpson
Phoenix,AZ
Summary
Detail-oriented Examiner with years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and insurance. A team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
1
1
Certificate
Work History
Senior Claims Examiner
Mphasis
10.2022 - Current
- Reduced claim resolution time by conducting thorough investigations and timely decisionmaking.
- Facilitated information sharing among team members to improve overall understanding of complex cases.
- Collaborated with legal counsel on complex claims, ensuring compliance with regulatory guidelines.
- Handled high-profile cases professionally, maintaining confidentiality while achieving satisfactory resolutions.
- Prepared detailed reports on claim activity for management review, highlighting areas for improvement.
- Streamlined claims processing by implementing efficient workflow procedures.
Recruitment Specialist
Mogulstaffing
11.2021 - 07.2022
- Provided exceptional candidate experience throughout the recruitment process, maintaining consistent communication and transparency.
- Maintained an updated database of potential candidates for future opportunities, allowing for quick access to a qualified talent pool.
- Managed multiple requisitions simultaneously while maintaining attention to detail and excellent organizational skills.
- Leveraged social media platforms and online job boards to advertise open positions and engage with potential candidates.
- Enhanced candidate pool by proactively sourcing qualified applicants through various channels, such as social media, job boards, and networking events.
Senior Market Consultant
GoHealth LLC
01.2019 - 01.2020
- Licensed Health Insurance Agent
- Multi-state & Carrier appointmented
- Consulted seniors on Medicare changes
- Made plan recommendations based on a through needs analysis & active listening
- Managed a book of business through AEP, OEP & SEP election periods with 85% retention.
Digital Marketing Consultant
BizIQ
01.2018 - 01.2019
- Consulted, educated and maintained Strategic Partnerships as a Digital Marketing Consultant
- As a featured Google Partner, I reviewed analytics, completed on-line audits & SEO
- Completed needs based interviews with customers
- Completed competitive analysis and educated business owners, CEO's, CFO's & CRO's on Marketing strategies
- Completed cost and ROI analysis using Google Analytics, Keyword Planner & Google SEO tools.
Recruiter/Hiring Specialist
ZipRecruiter
01.2017 - 01.2018
- Consulted with small to midsize companies with their recruiting efforts
- Advised CEO, CFO, HR Directors & Business owners on their hiring campaigns and strategies
- Conducted market research in industry specific markets
- Educated organizations on recruiting trends, best practices, relevancy, AI, Algorithms & recruiting technologies
- Advised & sold custom hiring strategies to organizations maintaining 100% of goal or promo-credit every month
- Provided value by educating and showing best practices to maximize ROI.
Case Manager
McKesson Specialty Health
01.2016 - 01.2017
- Conducted benefit investigations, prior authorizations & appeal process for Biologic and Specialty Medications
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Conducted Pharmacy & Medical investigations with payers such as Medicare, Medicaid, Commercial, ACA & Government exchange plans
- Assisted providers with formulary exceptions, step therapy & patient assistance programs.
Regional Director
Transamerica Agency Network
01.2011 - 12.2015
- Managed over five million in force premium
- Established strategic growth initiative with 10% growth annually for four years
- Recruited, trained and managed all new hires
- Managed agent call flow and metrics
- Supervised and managed inbound/outbound call center
- District office staff Conference qualifiers of 80% in 2013
- Sales Manager: Trained and mentored staff
- Established & implemented training programs for all new hires
- Conduct one on one's with each agent weekly at established times
- Scheduled joint fieldwork weekly
- Conducted case studies, sales concepts & community involvement.
Board Member
Derby City Vending
01.2005 - 01.2011
- Recruited, trained and mentored all new hires
- Managed large accounts building relationships with key employees ensuring customer satisfaction
- Managed daily operations to ensure customer needs are met
- Implemented Industry related training systems for employees through market research & industry related best practices.
Education
Associate of Applied Science - Architectural Engineering
Sullivan College of Technology And Design
Louisville, KYSkills
- Claims Analysis
- Coverage Evaluation
- Investigation techniques
- Policy Interpretation
- Claim Resolution
- Claims Processing
- Microsoft Office Suite
- Data Verification
- Disability claims process
- Claims Investigation
- Team Leadership/Team Collaboration
- Relationship Building
Accomplishments
- Hiked the Appalachian Trail
- Executive Board Member for Derby City Vending 2008-2011
- President's Citation award for Outstanding Performance Leading Regional Director at Transamerica Agency Network
Certification
- Certified Medical Device Sales Representative
- Licensed Health Insurance Agent
Timeline
Senior Claims Examiner
Mphasis
10.2022 - Current
Recruitment Specialist
Mogulstaffing
11.2021 - 07.2022
Senior Market Consultant
GoHealth LLC
01.2019 - 01.2020
Digital Marketing Consultant
BizIQ
01.2018 - 01.2019
Recruiter/Hiring Specialist
ZipRecruiter
01.2017 - 01.2018
Case Manager
McKesson Specialty Health
01.2016 - 01.2017
Regional Director
Transamerica Agency Network
01.2011 - 12.2015
Board Member
Derby City Vending
01.2005 - 01.2011
Associate of Applied Science - Architectural Engineering
Sullivan College of Technology And Design