Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence. Over 30 years experience in all aspects of Healthcare Administration ranging from facility, provider, health plan, full knox keene to restricted knox keene management. Extensive claims and Provider Dispute experience, management of health plan demands, grievance and appeals and recovery.
Claims management expertise
Team building and motivation
Effective communication techniques
Decision-making confidence
Risk assessment
Time management aptitude
Process improvement strategies
Conflict resolution techniques
Vendor relationship management
Project management experience
Organizational change management
Advanced analytical skills
In-depth insurance knowledge
Claims system technology
Strong leadership skills
Dispute resolution expertise
Claims auditing
Planning and organization
Team motivation
Claims analysis
Claims processing
Quality assurance
Performance monitoring
Policy interpretation
Customer expectations management
Expense control
Claims investigation and research
Insurance policy review
Call center transactions
Insurance regulations
Teamwork and collaboration
Customer service
Problem-solving
Time management
Excellent communication
Critical thinking
Decision-making
Team building leadership
Planning and coordination
Relationship building and management
Customer relationship development
Conflict resolution
Operations management
Accounting management
Continuous improvement