Kari Martinson
Mound,MN
Summary
Adept at leveraging analytical thinking and team collaboration, I enhanced efficiency and process improvements at Optum. My expertise in Excel and documentation, coupled with a knack for critical decision-making, led to significant operational advancements. With a history of transforming challenges into opportunities, I excel in driving projects to fruition, embodying leadership and innovation.
Overview
28
28
years of professional experience
Work History
Sr. Capability Analyst
Optum
02.2024 - Current
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Implemented predictive analytics techniques that enabled proactive adjustments to business strategies based on emerging trends.
- Increased efficiency by streamlining data analysis processes and implementing automation tools.
Capability Analyst
Optum
03.2019 - 02.2024
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Devised and implemented processes and procedures to streamline operations.
Business Process Analyst
Optum
02.2016 - 03.2019
- Streamlined business processes by analyzing and identifying areas for improvement, reducing inefficiencies and boosting productivity.
- Established strong relationships with internal clients to better understand their needs and expectations related to process improvements.
- Implemented new process automation tools to enhance overall workflow and increase operational efficiency.
- Identified opportunities for cost savings through streamlined processes while maintaining quality standards.
Associate Business Process Analyst
Optum
02.2014 - 02.2016
- Identified opportunities for cost savings through streamlined processes while maintaining quality standards.
- Collaborated with upper management to drive strategy and implement new processes.
- Collaborated with cross-functional teams to develop optimized business processes, resulting in improved collaboration and communication.
- Managed project timelines and deliverables associated with business process improvements, ensuring successful completion within established timeframes.
- Served as a subject matter expert on business process analysis methodologies within the organization, mentoring junior team members as needed.
- Designed custom reports and dashboards using data analytics tools, providing valuable insights into the effectiveness of implemented changes.
- Leveraged technology solutions to drive efficiency gains within processes, embracing innovation and staying current with industry advancements.
Senior Claims Representative
Optum
01.2008 - 02.2014
- Improved team productivity by providing ongoing training and support to junior claims representatives.
- Reduced backlog of pending claims by introducing an effective triage system based on priority levels.
- Collaborated with legal and medical professionals to gather necessary information for claim assessments.
- Analyzed complex claims data, identifying trends, and recommending improvements to reduce future risks.
- Streamlined claims documentation process, ensuring completeness and accuracy for faster approvals.
- Communicated effectively with staff members of operations, finance and clinical departments.
Claims Specialist
Optum
11.2007 - 01.2008
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Claims Analyst
Optum
04.2007 - 11.2007
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Claims Examiner
Optum
08.2006 - 04.2007
- 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.
Claims Examiner
Optum, Contractor
11.2005 - 08.2006
- 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.
- Conducted thorough investigations of complex claims, gathering relevant documentation and interviewing witnesses when necessary.
- Served as a mentor to junior examiners, sharing expertise and providing guidance on best practices within the field of claims examination.
Claims Data Entry Processor
Cigna Behavioral Health
04.1997 - 06.2005
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Obtained scanned records and uploaded into database.
- Sorted documents and maintained organized filing process.
Education
High School Diploma -
Hopkins High Schoool
Minnetonka, MN06-1991
Skills
- Microsoft office
- Analytical thinking
- MS Excel
- Time management
- Team collaboration and leadership
- Attention to detail
- Documentation and reporting
- Excel proficiency
- Data research and validation
- Critical thinking
- Decision-making
- Process improvements
- Evidence-based decision making
Timeline
Sr. Capability Analyst
Optum
02.2024 - Current
Capability Analyst
Optum
03.2019 - 02.2024
Business Process Analyst
Optum
02.2016 - 03.2019
Associate Business Process Analyst
Optum
02.2014 - 02.2016
Senior Claims Representative
Optum
01.2008 - 02.2014
Claims Specialist
Optum
11.2007 - 01.2008
Claims Analyst
Optum
04.2007 - 11.2007
Claims Examiner
Optum
08.2006 - 04.2007
Claims Examiner
Optum, Contractor
11.2005 - 08.2006
Claims Data Entry Processor
Cigna Behavioral Health
04.1997 - 06.2005
High School Diploma -
Hopkins High Schoool
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