Overview
Work History
Timeline
Generic

Jeffrey Swartz

Subrogation Specialist
Suamico,WI

Overview

19
19
years of professional experience

Work History

Assistant Store Leader

Kwik Trip INC
Green Bay, WI
10.2023 - 10.2024
  • Supports the efforts of the Store Leader and leads by example ensuring a quality service experience for customers in a profitable manner for Kwik Trip, Inc.
  • Assists with daily operations, coworker recruitment, training, and supervision, merchandising, inventory control and ensuring that the highest level of customer service is consistently being provided by all coworkers.
  • Assists in maintaining a quality store image by providing a clean store, having quality products in-stock and being responsive to community needs.

Subrogation Specialist

Humana
Green Bay, WI
12.2007 - 06.2023
  • Company Overview: one of the nation's largest publicly traded health benefits company with 11 million medical members.
  • Reviewed medical claims each year and identified insurance policy denials, resulting in recovered funds in the amount of $1,712,001.02 in 2022.
  • Documented all subrogation activity and liaised with insurance companies on behalf of Humana members.
  • Collaborated closely with internal and external attorneys and medical providers to obtain recoveries from responsible third parties and ensure all necessary information was accurately processed.
  • Enabled timely and cost-effective claims resolution while collecting missing information and potential sources of recovery.
  • Created detailed reports summarizing findings and recommendations and presented findings to responsible insurance adjusters.
  • Increased data entry accuracy through in-depth pre-pay investigations for determination of claims adjudication.
  • One of the nation's largest publicly traded health benefits company with 11 million medical members.

Provider Contracting Networking Specialist

Humana
Green Bay, WI
01.2006 - 12.2007
  • Leveraged robust insurance principles knowledge while educating Medicare members and providers on Humana Gold Choice Medicare replacement plan.
  • Showcased robust work ethic while working for one of the nation's largest publicly traded health benefits company with 11 million medical members.
  • Built positive relationships with new members by promptly locating participating providers.
  • Rendered optimal support to providers with claim discrepancies and ensuring equitable decisions.

Timeline

Assistant Store Leader

Kwik Trip INC
10.2023 - 10.2024

Subrogation Specialist

Humana
12.2007 - 06.2023

Provider Contracting Networking Specialist

Humana
01.2006 - 12.2007

Similar Profiles

CREATE PROFILE
Jeffrey SwartzSubrogation Specialist