Karrish Reznicek
Clovis,CA
Summary
Highly motivated Manager / Director collaborating effectively with CEO, COO, VP, Managers and others to promote client satisfaction, retention and employee engagement. Skilled in overseeing operations of individual and multi-unit Teams. Accomplished procedural development optimizing execution. Successful in fast-paced, multi-faceted environment managing goals, development, engagement and productivity.
Overview
34
34
years of professional experience
Work History
Director of Loss Prevention
HealthComp
Fresno, CA
12.2022 - 02.2023
- Managed 30+ within divisions of Team; Appeals, Refunds, Overpayments, Subrogation, Price Negotiation, Dialysis Management, Fraud Waste Abuse, High Dollar Stop Loss/Reinsurance Claims, NSA & Zelis Administration.
- Implemented written P&P's in collaboration with Quality, Claims, Training, Plan Building, Plan Docs, IS/IT, Customer Service and UM Teams.
- Sales support, Broker and Client retention and complex claim issue resolution.
Manager of Training and Quality Assurance
HealthComp
Fresno, CA
10.2004 - 11.2022
- Managed 15+ in Training (Claims, Customer Service and Eligibility) and Quality Assurance (QA) Teams.
- Created two QA Applications (3/2005 and 1/2014) providing insight into Financial, Procedural and Payment quality at a Client, Team and Individual level. Developed training initiatives from QA results.
- Produced, documented and implemented P&P's for Claims, Customer Service, Eligibility and QA Teams.
- Provided annual FWA, HIPPA/Hi-Tech Training.
- Oversight of Employee Benefit Plan for 900+ employees from 2018-2022.
Claim Specialist
Principal Financial
Petaluma And Fresno, CA
1989 - 2003
- Complex claim investigation, QA, Training, price negotiation, Medicare integration, high dollar claims processing,
Education
- Training Certificate
Association For Talent And Development
San Jose2013
High School Diploma -
Casa Grande High School
Petaluma, CA1986
Skills
- Training & Development
- Critical Thinking
- Team Building & Management
- Planning & Organizing
- Conflict Resolution
- Supervision & Leadership
- Relationship Building
- Problem analysis and resolution
- Flexible and Adaptable
- Multitasking Abilities
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
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Timeline
Director of Loss Prevention
HealthComp
12.2022 - 02.2023
Manager of Training and Quality Assurance
HealthComp
10.2004 - 11.2022
Claim Specialist
Principal Financial
1989 - 2003
- Training Certificate
Association For Talent And Development
High School Diploma -
Casa Grande High School
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